Active NPI
Anne Ilsley Sellery, LMP
- Massage Therapist
- Seattle, WA
National Provider Identifier
1730398207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00023842
- Practice address
- 3320 W McGraw St
Unravel Therapeutics
Seattle, WA 98199 - Phone
- (206) 283-9910
- Fax
- (206) 283-9935
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00023842 | WA | Primary |
| Massage Therapist | 225700000X | 51934406 |
Addresses
Primary practice location
3320 W McGraw St
Unravel Therapeutics
Seattle, WA 98199
Mailing address
7012 5TH Ave NE
Seattle, WA 98115
Phone (646) 641-6060
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00023842 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730398207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7012 5TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98115",
"telephone_number": "646-641-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3320 W MCGRAW ST",
"address_2": "UNRAVEL THERAPEUTICS",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98199",
"telephone_number": "206-283-9910",
"fax_number": "206-283-9935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLERY",
"first_name": "ANNE",
"middle_name": "ILSLEY",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00023842",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": "51934406",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- 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.