Katherine Emily Tilley, WA-LMT-60388791

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

60388791 Issued in WA

Practice address

109 W 2ND Ave Suite a-(No Usps Mail)
Twisp
Twisp, WA 98856

Phone

(425) 577-4335

NPI assigned

Nov 20, 2013

Last updated

Jan 31, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1699105148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 B NEWBY CREEK RD",
            "city": "TWISP",
            "state": "WA",
            "postal_code": "98856",
            "telephone_number": "425-577-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 W 2ND AVE SUITE A-(NO USPS MAIL)",
            "address_2": "TWISP",
            "city": "TWISP",
            "state": "WA",
            "postal_code": "98856",
            "telephone_number": "425-577-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "KATHERINE",
        "middle_name": "EMILY",
        "name_prefix": "Ms.",
        "credential": "WA-LMT-60388791",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-20",
        "last_updated": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "WA60388791",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60388791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.