Vitality Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00025266 Issued in WA

Legal business name

VITALITY MASSAGE

Practice address

307 E. Robert Bush Drive Suite #4
South Bend, WA 98586-9858

Phone

(360) 942-7956

NPI assigned

Jul 17, 2018

Last updated

Jul 17, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amy D Triplett, LMPNPI 1497928055

Title

Therapist

Phone

(360) 942-7956

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Dennise Triplett

  • Counselor
  • Long Beach, WA
  • NPI 1497928055
  NPD Authorized official

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1740766328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "985860246",
            "telephone_number": "360-942-7956",
            "fax_number": "360-934-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E. ROBERT BUSH DRIVE SUITE #4",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "985869858",
            "telephone_number": "360-942-7956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "TRIPLETT",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "360-942-7956",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00025266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER",
            "identifier": "1497928055",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Russell, PTA
• Ramona Shatraw
• Debra D Slapper, MD
• South Bend School District
• Anne Elizabeth Townsend, L.D.
• Washington Physical Therapy
• Willapa Family Medicine PS
• Willapa Harbor Pharmacies Inc (South Bend Pharmacy)

• Massage Therapist in South Bend, WA
• Providers in South Bend, 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, 2018; 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.