Jesse D Hannaford, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00013867 Issued in WA

Practice address

318 Main Avenue East
Soap Lake, WA 98851-0318

Phone

(509) 246-1660

NPI assigned

Jul 17, 2008

Last updated

Jul 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1216252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216252800000",
    "number": "1740444892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 739",
            "city": "SOAP LAKE",
            "state": "WA",
            "postal_code": "988510739",
            "telephone_number": "360-713-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MAIN AVENUE EAST",
            "city": "SOAP LAKE",
            "state": "WA",
            "postal_code": "988510318",
            "telephone_number": "509-246-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAFORD",
        "first_name": "JESSE",
        "middle_name": "D",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-17",
        "last_updated": "2008-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00013867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Soap Lake, WA
• Providers in Soap Lake, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2008; 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.