Organization Active NPI

Meridian Ave Massage PLLC

  • Massage Therapist
  • Puyallup, WA
National Provider Identifier
1699469296
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MERIDIAN AVE MASSAGE PLLC
Practice address
10217 128TH St E Ste C
Puyallup, WA 98374-5670
Phone
(253) 875-7270
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Chery Taylor, LMTNPI 1518279298
Title
Owner
Phone
(253) 875-7270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

10217 128TH St E Ste C
Puyallup, WA 98374-5670

Mailing address

10217 128TH St E Ste C
Puyallup, WA 98374-5670
Phone (253) 875-7270

National Provider Directory

National Provider Directory

Locations

10217 128th St E
Ste C
Puyallup, WA 98374
Phone (253) 875-7270

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1699469296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10217 128TH ST E STE C",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983745670",
            "telephone_number": "253-875-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10217 128TH ST E STE C",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983745670",
            "telephone_number": "253-875-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN AVE MASSAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-875-7270",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; 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.