Active NPI
Michele Lynn Bullock, LMT
- Massage Therapist
- Bellingham, WA
National Provider Identifier
1740066752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA61465321
- Practice address
- 1112 Finnegan Way
Bellingham, WA 98225-6622 - Phone
- (360) 527-9566
- NPI assigned
- Sep 5, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA61465321 | WA | Primary |
Addresses
Primary practice location
1112 Finnegan Way
Bellingham, WA 98225-6622
Mailing address
303 Elwood CT Apt 303
Bellingham, WA 98225-0939
Phone (360) 738-6465
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 |
|---|---|---|---|
| MA61465321 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1740066752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 ELWOOD CT APT 303",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982250939",
"telephone_number": "360-738-6465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 FINNEGAN WAY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982256622",
"telephone_number": "360-527-9566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLOCK",
"first_name": "MICHELE",
"middle_name": "LYNN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-05",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA61465321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.