Jacklyn M Wachal, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60124562 Issued in WA

Practice address

129 176TH St S Ste a
Spanaway, WA 98387-4616

Phone

(253) 539-0132

Fax

(253) 539-0241

NPI assigned

Feb 17, 2010

Last updated

Feb 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jacklyn M Smith Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pearson Chiropractic PLLC

  • Rehabilitation Chiropractor
  • Covington, WA
  • NPI 1235337940
  NPD (past)
• Spanaway Chiropractic Clinic

  • Rehabilitation Chiropractor
  • Spanaway, WA
  • NPI 1942429501
  NPD (past)

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1740502764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 176TH ST S STE A",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983874616",
            "telephone_number": "253-539-0132",
            "fax_number": "253-539-0241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 176TH ST S STE A",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983874616",
            "telephone_number": "253-539-0132",
            "fax_number": "253-539-0241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WACHAL",
        "first_name": "JACKLYN",
        "middle_name": "M",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60124562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKLYN",
            "last_name": "SMITH",
            "middle_name": "M",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexia Villarreal
• Jennifer Ashley Vincent
• Rebecca Visintin
• Amber J Vongphouthone, BCBA
• Linh Ngoc Vu, MD
• Joy Kumi Wada, DPT, ATC, CSCS
• Jade Abraxas Waits, LSWAIC
• Wal-Mart Stores, Inc (Vision Center 30-3218)
• Walmart Inc. (Walmart Pharmacy 10-3218)
• Hallie Rose Lim Walsh

• Massage Therapist in Spanaway, WA
• Providers in Spanaway, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.