Tiffany N Watson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

11316 Issued in OR

Practice address

6395 Keizer Station Blvd. #103
Keizer, OR 97303

Phone

(503) 589-1597

NPI assigned

Mar 7, 2007

Sex

Female

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Massage Envy

  • Massage Therapist
  • Keizer, OR
  • NPI 1205969391
  NPD (past)
• Massage North West, Inc.

  • Massage Therapist
  • Keizer, OR
  • NPI 1336280262
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467417600000",
    "number": "1750411567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CAPITOL ST NE",
            "address_2": "SUITE H",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011201",
            "telephone_number": "503-409-0331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6395 KEIZER STATION BLVD. #103",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "97303",
            "telephone_number": "503-589-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATSON",
        "first_name": "TIFFANY",
        "middle_name": "N",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "11316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Dale Walter, DC
• Jeffrey T Wang, M.D.
• Andrea Ward, PMHNP
• James K Warner, D.C.
• Barbara Jean Warren, RPH
• David S. Weaver, D.C.
• Judith Rae Weems
• Lonnie Dale Weems
• Sydney Weitzel
• Wesley Ann Wellman

• Massage Therapist in Keizer, OR
• Providers in Keizer, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2016; 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.