NPIMap

Organization Active NPI

Water Lily Therapeutic Massage & Sauna LLC

  • Massage Therapist
  • Battle Ground, WA
National Provider Identifier
1699546416
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
WATER LILY THERAPEUTIC MASSAGE & SAUNA LLC
Practice address
119 S Parkway Ave Ste 101
Battle Ground, WA 98604-5499
Phone
(360) 666-1300
Fax
(360) 666-5001
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Authorized official

Name
Doris Jean Jensen, LMTNPI 1275807117
Title
Owner
Phone
(360) 666-1300

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

119 S Parkway Ave Ste 101
Battle Ground, WA 98604-5499

Mailing address

119 S Parkway Ave Ste 101
Battle Ground, WA 98604-5499
Phone (360) 666-1300

National Provider Directory

National Provider Directory

Locations

119 S Parkway Ave
Ste 101
Battle Ground, WA 98604
Phone (360) 666-1300

Practitioners & affiliated clinicians

Practitioners 6

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": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1699546416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 S PARKWAY AVE STE 101",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986045499",
            "telephone_number": "360-666-1300",
            "fax_number": "360-666-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S PARKWAY AVE STE 101",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986045499",
            "telephone_number": "360-666-1300",
            "fax_number": "360-666-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATER LILY THERAPEUTIC MASSAGE & SAUNA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "DORIS",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-666-1300",
        "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 Battle Ground, WA

Sources for this page

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