Individual provider Active NPI

Treaver John Guttig

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1689385601
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA61109520 Issued in WA
Practice address
2501 NE 134TH St Ste 300
Vancouver, WA 98686-3030
Phone
(360) 690-0081
NPI assigned
Dec 9, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA61109520 WA Primary

Addresses

Primary practice location

2501 NE 134TH St Ste 300
Vancouver, WA 98686-3030

Mailing address

2406 NE 139TH St Apt Jj315
Vancouver, WA 98686-2768
Phone (360) 310-2481

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA61109520WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Salmon Creek Chiropractic CurrentSince Feb 11, 2024 Accepting new patients

Locations

2501 NE 134th St
Ste 300
Vancouver, WA 98686
Phone (360) 690-0081

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1689385601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 NE 139TH ST APT JJ315",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862768",
            "telephone_number": "360-310-2481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 NE 134TH ST STE 300",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863030",
            "telephone_number": "360-690-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTIG",
        "first_name": "TREAVER",
        "middle_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61109520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.