Organization Active NPI

Marie Benoit LMP

Doing business as Lakeside Massage Studio

  • Massage Therapist
  • Lake Stevens, WA
National Provider Identifier
1699483198
Registry record updated Dec 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MARIE BENOIT LMP
Doing business as
Lakeside Massage Studio
Lakeside Massage and Wellness Studio
Lakeside Massage and Wellness Studio LLC2 more in Other names
Practice address
9623 32ND St SE # D113D115
Lake Stevens, WA 98258-5779
Phone
(425) 314-0609
Fax
(425) 320-4091
NPI assigned
Nov 14, 2022
Last updated
Dec 26, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MARIE BENOIT LMP, LAKESIDE MASSAGE AND WELLNESS STUDIO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 26, 2022

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

Authorized official

Name
Marie Benoit, MA60042832NPI 1275784084
Title
Owner/Licensed Massage Therapist
Phone
(425) 314-0609

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 Therapist 225700000X NU Primary

Addresses

Primary practice location

9623 32ND St SE # D113D115
Lake Stevens, WA 98258-5779

Mailing address

5248 Longbow Rd
King George, VA 22485-3169
Phone (425) 314-0609

Other names 7

  • Lakeside Massage Studio Doing business as
  • Lakeside Massage and Wellness Studio Doing business as
  • Lakeside Massage and Wellness Studio LLC Doing business as
  • Marie Benoit LMP Doing business as
  • Marie Benoit LMP Lakeside Massage and Wellness Studio Doing business as
  • M'lissa Kaysner Other name
  • M'lissa Kaysner LMT, Lakeside Massage and Wellness Studio Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lakesidemassageandwellness@outlook.com Direct

National Provider Directory

National Provider Directory
Part of
Marie Benoit LMP

Locations

9623 32nd St SE
Ste D113
Lake Stevens, WA 98258
Phone (425) 314-0609

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672012800000",
    "number": "1699483198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5248 LONGBOW RD",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224853169",
            "telephone_number": "425-314-0609",
            "fax_number": "425-320-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9623 32ND ST SE # D113D115",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982585779",
            "telephone_number": "425-314-0609",
            "fax_number": "425-320-4091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIE BENOIT LMP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIE BENOIT LMP, LAKESIDE MASSAGE AND WELLNESS STUDIO LLC",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-12-26",
        "certification_date": "2022-12-26",
        "status": "A",
        "authorized_official_last_name": "BENOIT",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "425-314-0609",
        "authorized_official_credential": "MA60042832"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lakesidemassageandwellness@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "9623 32nd St SE # D113D115",
            "city": "Lake Stevens",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982585779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lakeside Massage Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeside Massage and Wellness Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeside Massage and Wellness Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lakeside Massage and Wellness Studio LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marie Benoit LMP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Marie Benoit LMP Lakeside Massage and Wellness Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M'lissa Kaysner",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "M'lissa Kaysner LMT, Lakeside Massage and Wellness Studio",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.