Mai Pen Rai Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00021243 Issued in WA

Legal business name

MAI PEN RAI MASSAGE

Practice address

108 SE 124TH Ave Ste 24
Vancouver, WA 98684-6015

Phone

(360) 513-4472

Fax

(360) 885-4944

NPI assigned

May 3, 2012

Organization subpart

No

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

Authorized official

Name

Amanda Michel, LMP

Title

Licensed Massage Practitioner

Phone

(360) 513-4472

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336003200000",
    "number": "1720347297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 SE 124TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986644053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SE 124TH AVE STE 24",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846015",
            "telephone_number": "360-513-4472",
            "fax_number": "360-885-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAI PEN RAI MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "LICENSED MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "360-513-4472",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00021243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ijaz Mahmood
• Jennifer Mahnke, MD
• Brian E Mahoney, DMD
• Holly Fae Mahoney, OTR/L
• Steven Dean Mahoney
• Richard Mai
• Theodore Thomas Maier, L.M.P.
• Zachary Jonathan Maier
• Main Street Family Medicine, PLLC (Main Street Family Medicine)
• Caroline Maina, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.