Tiffany Pedersen

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA70099180 Issued in WA

Practice address

1101 Avenue D Ste D205
Snohomish, WA 98290-2004

Phone

(360) 217-8467

NPI assigned

Mar 20, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Classic Massage Clinic, PLLC

  • Massage Therapist
  • Snohomish, WA
  • NPI 1265606198
  NPD (past)

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1700734142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 AVENUE D STE D205",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902004",
            "telephone_number": "360-217-8467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 AVENUE D STE D205",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902004",
            "telephone_number": "360-217-8467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERSEN",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA70099180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joelle L Paul, LMHC
• Arianna Jean Paulino
• Laura A Paulsen, ARNP
• Benjie Russell Pease, MOT OTR/L
• Jackson William Peckenpaugh, PT, DPT
• Amy A Peerson
• Nita Louise Perrine, LMP
• Stormie Person, RPH
• Brittany Peterson, MT-BC
• Timothy M Peterson, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.