Active NPI
Lindell Marie Bruce, LMT
- Massage Therapist
- Covington, WA
National Provider Identifier
1700277498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60534591
- Practice address
- 27111 167TH PL SE
Suite 109
Covington, WA 98042-7337 - Phone
- (253) 639-7639
- NPI assigned
- Feb 17, 2015
- Last updated
- Feb 17, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA60534591 | WA | Primary |
Addresses
Primary practice location
27111 167TH PL SE
Suite 109
Covington, WA 98042-7337
Mailing address
2656 SW 333Rd PL
Federal Way, WA 98023-2765
Phone (253) 344-1330
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60534591 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cascades Chiropractic Center Inc. | Past | Accepting new patients | |
| Akm Enterprises, Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Cascades Chiropractic
- Rehabilitation Chiropractor
- Covington, WA
- NPI 1659593143
-
dba Dupont Family Chiropractic
- Chiropractor
- Dupont, WA
- NPI 1366637233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1700277498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2656 SW 333RD PL",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980232765",
"telephone_number": "253-344-1330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27111 167TH PL SE",
"address_2": "SUITE 109",
"city": "COVINGTON",
"state": "WA",
"postal_code": "980427337",
"telephone_number": "253-639-7639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUCE",
"first_name": "LINDELL",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-17",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60534591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.