Bonnie Jean Geddes

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00013959 Issued in WA

Practice address

304 Main Ave S
#201
Renton, WA 98055-2758

Phone

(206) 240-2039

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720207541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12708 13TH LN SW",
            "address_2": "#D5",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981464000",
            "telephone_number": "206-240-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN AVE S",
            "address_2": "#201",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980552758",
            "telephone_number": "206-240-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEDDES",
        "first_name": "BONNIE",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0159356",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0213404",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• F Peyton Gaunt III, MD
• Sybil Higgins Gautreau, R.D., M.A.
• Julie Gazzoli, PT
• Phyllis D Gearring-Anderson, ARNP
• Fesehatsion Gebrehiwot, FESAHA GEBREHIWOT
• Kathryn Anne Gedrimas, OTR/L
• Linda M Geere, MD
• David Gellman
• Lois M Gelman, MD
• Genevieve Ward Counseling PLLC

• Massage Therapist in Renton, WA
• Providers in Renton, 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 8, 2007; 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.