The Massage and Bodywork Company LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

MA00019321 Issued in WA

Legal business name

THE MASSAGE AND BODYWORK COMPANY LLC

Practice address

205 15TH Ave SW
Suite C
Puyallup, WA 98371-7873

Phone

(253) 445-6140

Fax

(253) 267-8060

NPI assigned

Apr 28, 2015

Organization subpart

No

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

Authorized official

Name

Megan Hogle, LMP

Title

Owner/Massage Therapist

Phone

(253) 445-6140

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1710364880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 15TH AVE SW",
            "address_2": "SUITE C",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717873",
            "telephone_number": "253-445-6140",
            "fax_number": "253-267-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 15TH AVE SW",
            "address_2": "SUITE C",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983717873",
            "telephone_number": "253-445-6140",
            "fax_number": "253-267-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MASSAGE AND BODYWORK COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "HOGLE",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "253-445-6140",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "MA00019321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Preferred Provider Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.