Ryan Christopher Elvidge, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60680112 Issued in WA

Practice address

6501 196TH St SW Ste C
Lynnwood, WA 98036-5980

Phone

(425) 775-2288

Fax

(425) 778-5476

NPI assigned

Jul 26, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Credentials

Medical Technician

State licenses

Practice roles

Locations

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.

• Lifeplus Health Centers, PS

  • Chiropractor
  • Lynnwood, WA
  • NPI 1669648929

  Massage Therapist

  NPD
• Stephanie Greenall

  dba Lifeplus Health Center

  • Massage Therapist
  • Lynnwood, WA
  • NPI 1063592616
  NPD (past)

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

{
    "created_epoch": "1501027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1740704360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 196TH ST SW STE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365980",
            "telephone_number": "425-775-2288",
            "fax_number": "425-778-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6501 196TH ST SW STE C",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365980",
            "telephone_number": "425-775-2288",
            "fax_number": "425-778-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELVIDGE",
        "first_name": "RYAN",
        "middle_name": "CHRISTOPHER",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60680112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karyn L Ellis, LMCA, MHP
• Kiara Monae Ellis
• Sandra Sue Ellis, LMHCA
• Megan Marie Ellison, MS, RD, CDE
• Noha Elsheteehy
• Wesley Ryan Elzea
• Leslie Marie Emery
• Emolumin Therapium, PLLC (The Therapium)
• Emotesy Child and Family Counseling Services, PLLC (Jennifer Daffon, PsyD, LMHC)
• Elma-Marie Empinado

• Massage Therapist in Lynnwood, WA
• Providers in Lynnwood, 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 21, 2022; 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.