Ballard Central Massage Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BALLARD CENTRAL MASSAGE CLINIC LLC

Practice address

1551 NW 54TH St Ste 101
Seattle, WA 98107-3845

Phone

(206) 829-9198

Fax

(206) 784-7471

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By 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

Kristi Sue Complita

Title

Manager/Owner

Phone

(206) 795-6273

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1750075636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 NW 54TH ST STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073845",
            "telephone_number": "206-829-9198",
            "fax_number": "206-784-7471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 NW 54TH ST STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981073845",
            "telephone_number": "206-829-9198",
            "fax_number": "206-784-7471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALLARD CENTRAL MASSAGE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "COMPLITA",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "206-795-6273"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Carol Ballantyne, MD
• Kelly Renee Ballantyne, CCC-SLP
• Ballard Acupuncture Center LLC
• Ballard Avenue Psychiatry PLLC
• Ballard Central Chiropractic Inc
• Ballard Chiropractic Clinic, PS (Ballard Chiropractic Clinic)
• Ballard Emergency Physicians, P.S.
• Ballard Eye Clinic PLLC (Northwest Vision Clinic)
• Ballard Health Center
• Ballard Neighborhood Doctors PLLC

• Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.