Julie Ann Wickwire, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00007494 Issued in WA

Practice address

19201 108TH Ave SE
#101
Renton, WA 98055-7379

Phone

(253) 859-6441

Fax

(253) 859-9437

NPI assigned

Jul 11, 2006

Last updated

Jul 8, 2007By 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 2

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.

• Marsh Chiropractic, PS

  • Massage Therapist
  • Renton, WA
  • NPI 1063570539
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750316352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19201 108TH AVE SE",
            "address_2": "#101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557379",
            "telephone_number": "253-859-6441",
            "fax_number": "253-859-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19201 108TH AVE SE",
            "address_2": "#101",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980557379",
            "telephone_number": "253-859-6441",
            "fax_number": "253-859-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WICKWIRE",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "L.M.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00007494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "4705WI",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0162510",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Whole Body Holistic, LLC
• Lara D Whorley, ARNP
• Why's Words, LLC
• Marianne Wick, PT
• Tauri Wicklund
• Laura Ann Widdice, RN
• Valerie Danelle Wiens, IBCLC
• Shannon McGarry Wiese, MOT, OTR/L
• Hailey Anne Wiest
• Winter Fain Wildt-Bailey, PT

• Massage Therapist in Renton, WA
• Providers in Renton, 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 8, 2007; 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.