Active NPI
Anna Mae Sproles, LMP
- Massage Therapist
- Olympia, WA
National Provider Identifier
1710138128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60041545
- Practice address
- 222 Kenyon St NW
Suite Number 10
Olympia, WA 98502-4573 - Phone
- (360) 710-5947
- NPI assigned
- Oct 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 | 60041545 | WA | Primary |
Addresses
Primary practice location
222 Kenyon St NW
Suite Number 10
Olympia, WA 98502-4573
Mailing address
4308 35TH Ave SE
Lacey, WA 98503-3550
Phone (360) 539-7398
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 |
|---|---|---|---|
| 60041545 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491177600000",
"number": "1710138128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4308 35TH AVE SE",
"city": "LACEY",
"state": "WA",
"postal_code": "985033550",
"telephone_number": "360-539-7398",
"fax_number": "360-539-7971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 KENYON ST NW",
"address_2": "SUITE NUMBER 10",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985024573",
"telephone_number": "360-710-5947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPROLES",
"first_name": "ANNA",
"middle_name": "MAE",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2017-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60041545",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.