Tyisha Deanne Coleman, MA60182845

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60182845 Issued in WA

Practice address

2020 S 360TH St
F 307
Federal Way, WA 98003-7162

Phone

(206) 940-5822

NPI assigned

Oct 5, 2010

Last updated

Nov 21, 2012By 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 identifiers 1

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.

• Chiropractic Healthcare Center, P S

  • Chiropractor
  • Sumner, WA
  • NPI 1093887663
  NPD (past)

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

{
    "created_epoch": "1286236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1740599901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 S 360TH ST",
            "address_2": "F 307",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037162",
            "telephone_number": "206-940-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 S 360TH ST",
            "address_2": "F 307",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037162",
            "telephone_number": "206-940-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "TYISHA",
        "middle_name": "DEANNE",
        "credential": "MA60182845",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-05",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60182845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE LICENSE",
            "identifier": "MA 60182845",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca J Clow, DIETICIAN
• Tina Lynn Clum, LMP
• Loren Mason Cobb, M.D.
• Holly Marie Coe, MA
• Christine Carol Cole, LMHC
• Heather Colen
• Cheryl Ann Collier-Brown, MD
• Brooks Collins
• Laila Sarice Collins
• Susan Rochelle Collins, L.M.P.

• Massage Therapist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.