Active NPI
Diana Sue Rush, L.M.P.
- Massage Therapist
- Lakewood, WA
National Provider Identifier
1710925599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00017903
- Practice address
- 7517 Custer Rd W
Lakewood, WA 98499-8138 - Phone
- (360) 481-2347
- NPI assigned
- Jun 3, 2006
- 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 | MA00017903 | WA | Primary |
Addresses
Primary practice location
7517 Custer Rd W
Lakewood, WA 98499-8138
Mailing address
PO Box 755
Yelm, WA 98597
Phone (360) 481-2347
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00017903 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana Rush LMP | Massage Therapist | Current | Accepting new patients |
Locations
7517 Custer Rd W
Tacoma, WA 98499
Phone (253) 473-7777
Organizations & group practices 1
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.
-
- Massage Therapist
- Lakewood, WA
- NPI 1588418107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712793600000",
"number": "1710925599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 755",
"city": "YELM",
"state": "WA",
"postal_code": "98597",
"telephone_number": "360-481-2347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7517 CUSTER RD W",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984998138",
"telephone_number": "360-481-2347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "DIANA",
"middle_name": "SUE",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2024-04-11",
"certification_date": "2024-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00017903",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.