NPIMap

Organization Active NPI

Earthbody Massage and Spa

  • Specialist
  • Marysville, WA
National Provider Identifier
1720662570
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
EARTHBODY MASSAGE AND SPA
Practice address
610 Beach Ave Ste 1
Marysville, WA 98270-4571
Phone
(425) 422-1558
NPI assigned
May 7, 2021
Last updated
Apr 27, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Authorized official

Name
Leah Kuyper, LMTNPI 1750535886
Title
Owner
Phone
(425) 345-1933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

610 Beach Ave Ste 1
Marysville, WA 98270-4571

Mailing address

11508 20TH St SE
Lake Stevens, WA 98258-4751
Phone (425) 345-1933

Other practice location 1

305 Columbia Ave
Marysville, WA 98270-5022
Phone (425) 345-1933

National Provider Directory

National Provider Directory

Locations

305 Columbia Ave
Marysville, WA 98270
Phone (425) 345-1933

610 Beach Ave
Ste 1
Marysville, WA 98270
Phone (425) 328-4446

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1620345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651017600000",
    "number": "1720662570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11508 20TH ST SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982584751",
            "telephone_number": "425-345-1933",
            "fax_number": "360-547-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 BEACH AVE STE 1",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982704571",
            "telephone_number": "425-422-1558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 Columbia Ave",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982705022",
            "country_code": "US",
            "telephone_number": "425-345-1933",
            "fax_number": "360-547-6512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EARTHBODY MASSAGE AND SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-07",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A",
        "authorized_official_last_name": "KUYPER",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-345-1933",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.