Mpower Massage PLLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 60048963 Issued in WA

Legal business name

MPOWER MASSAGE PLLC

Practice address

41127 Larson Dr
Gold Bar, WA 98251-9576

Phone

(425) 876-8631

NPI assigned

Dec 13, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Gary Lee Counsellor, LMP, MMP

Title

Owner/Operator/Provider

Phone

(425) 876-8631

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418428800000",
    "number": "1699173229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41127 LARSON DR",
            "city": "GOLD BAR",
            "state": "WA",
            "postal_code": "982519576",
            "telephone_number": "425-876-8631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41127 LARSON DR",
            "city": "GOLD BAR",
            "state": "WA",
            "postal_code": "982519576",
            "telephone_number": "425-876-8631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPOWER MASSAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-13",
        "last_updated": "2014-12-13",
        "status": "A",
        "authorized_official_last_name": "COUNSELLOR",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER/OPERATOR/PROVIDER",
        "authorized_official_telephone_number": "425-876-8631",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMP, MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60048963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aren Fitzpatrick
• Christopher Steven Graham
• Sue K Horton
• Brenda Phin Keller, MASSAGE THERAPIST
• Jillyn Marie Kossian, MA60773866
• Michelle Ocheltree
• Skyland Ranch
• Snohomish County Fire Protection District 26
• Nancy J Stancik, LMP

• Massage Therapist in Gold Bar, WA
• Providers in Gold Bar, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.