Stephanie Jean Breedlove, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60422408 Issued in WA

Practice address

1818 S Union Ave Ste 1B
Tacoma, WA 98405-1953

Phone

(253) 627-7012

Fax

(253) 627-7014

NPI assigned

Jun 26, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1689089815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3706 N 33RD ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984076016",
            "telephone_number": "253-312-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 S UNION AVE STE 1B",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051953",
            "telephone_number": "253-627-7012",
            "fax_number": "253-627-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDLOVE",
        "first_name": "STEPHANIE",
        "middle_name": "JEAN",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60422408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Rose Breakfield, OTR/L
• Karen R Bream, MA LMHC
• Rowin Mateo Breaux
• David B Brecher, MD
• Ryan Patrick Bredeweg, M.D.
• David Louis Breen, PSYD
• Kristi Breen, PH.D.
• Lori Janeen Brees, OTR/L
• Kelly Jean Brehan, LMP
• Reilly Breig

• Massage Therapist in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.