Individual provider Active NPI

Holly Haase, LMP

  • Massage Therapist
  • Olympia, WA
National Provider Identifier
1730542218
Registry record updated Apr 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60630333 Issued in WA
Practice address
1800 Cooper Point Rd SW
BLDG #2
Olympia, WA 98502-1178
Phone
(360) 481-2495
Fax
(360) 918-8688
NPI assigned
Apr 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60630333 WA Primary

Addresses

Primary practice location

1800 Cooper Point Rd SW
BLDG #2
Olympia, WA 98502-1178

Mailing address

1800 Cooper Point Rd SW
BLDG #2
Olympia, WA 98502-1178
Phone (360) 481-2495

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

LicenseStateTypeSpecialty
MA60630333WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1459468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459468800000",
    "number": "1730542218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW",
            "address_2": "BLDG #2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021178",
            "telephone_number": "360-481-2495",
            "fax_number": "360-918-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW",
            "address_2": "BLDG #2",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021178",
            "telephone_number": "360-481-2495",
            "fax_number": "360-918-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAASE",
        "first_name": "HOLLY",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-01",
        "last_updated": "2016-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60630333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; 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.