NW Medical Massage & Bodywork

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00025027 Issued in WA

Legal business name

NW MEDICAL MASSAGE & BODYWORK

Practice address

19122 Beardslee Blvd Ste 105
Bothell, WA 98011-0200

Phone

(206) 861-3727

NPI assigned

Sep 22, 2014

Last updated

Jul 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marquesa Raquel Newman, LMTNPI 1679745053

Title

Owner

Phone

(206) 861-3727

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marquesa Raquel Newman, LMP

  • Massage Therapist
  • Seattle, WA
  • NPI 1679745053
  NPD Authorized official

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

{
    "created_epoch": "1411344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1710389747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 NE 103RD ST APT C406",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257463",
            "telephone_number": "206-861-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19122 BEARDSLEE BLVD STE 105",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980110200",
            "telephone_number": "206-861-3727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW MEDICAL MASSAGE & BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-22",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "NEWMAN",
        "authorized_official_first_name": "MARQUESA",
        "authorized_official_middle_name": "RAQUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-861-3727",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00025027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northwest Functional Nutrition, LLC
• Northwest Holistic Therapies, P.S.
• Yaw Adjei Ntiamoah
• Amanda Sue Nunnikhoven, LMP
• Maya Isabel Nuno
• Ifeyinwa Amuche Nwangwu
• Hannah Nye
• Jeanine O'Connell
• Kelly Maureen O'Leary, PA-C
• Megan M O'Meara, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.