Northwest Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

NORTHWEST MASSAGE LLC

Practice address

100 E 13TH St Ste 111
Vancouver, WA 98660-3329

Phone

(360) 521-6090

NPI assigned

Apr 10, 2018

Organization subpart

No

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

Authorized official

Name

Kateri Cheyenne Smith, LMT

Title

Owner/LMT

Phone

(360) 521-6090

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Corey Glen Davidson

  • Massage Therapist
  • Vancouver, WA
  • NPI 1447753702
  NPD (past)

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1699272260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 13TH ST STE 111",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603329",
            "telephone_number": "360-521-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 13TH ST STE 111",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603329",
            "telephone_number": "360-521-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KATERI",
        "authorized_official_middle_name": "CHEYENNE",
        "authorized_official_title_or_position": "OWNER/LMT",
        "authorized_official_telephone_number": "360-521-6090",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Emdr Therapy LLC
• Northwest Gynecology Associates PLLC
• Northwest Health and Safety Inc
• Northwest Health Specialties
• Northwest Healthcare
• Northwest Medical Associates,PS
• Northwest Medical Inc (Western Medical Specialties Vancouver)
• Northwest Neurology and Sleep Clinic Inc (Northwest Neurology and Sleep Clinic)
• Northwest Nursing LLC
• Northwest Pain Relief Centers, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.