Vibrance Bodywork Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA15545 Issued in WA

Legal business name

VIBRANCE BODYWORK MASSAGE

Practice address

216 N Rooselt St
Walla Walla, WA 99362

Phone

(509) 527-1156

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Mindy M Gottschall

Title

LMP

Phone

(509) 301-3017

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Healthquest Therapeutic Massage Other name

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699985069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 S 3RD AVE",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993624014",
            "telephone_number": "509-301-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 N ROOSELT ST",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "99362",
            "telephone_number": "509-527-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBRANCE BODYWORK MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOTTSCHALL",
        "authorized_official_first_name": "MINDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LMP",
        "authorized_official_telephone_number": "509-301-3017",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA15545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMP",
            "identifier": "MA15545",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthquest Therapeutic Massage",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edgar Alejandro Vazquez Gallegos
• Amit Verma, M.D.
• Monica Verma, PHARMD
• Celena Rae Veverka, MSW
• Peter Viavant, MD
• Christina L Vinti, LPN
• Vision Source Walla Walla
• Vision Source Walla Walla PLLC
• Rhonda Rae Vocht, RN
• Shirley Robin Vonhaven, DO

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.