Elle's Essential Massage

Primary specialty

SpecialistTaxonomy code 174400000X

License

603544296 Issued in WA

Legal business name

ELLE'S ESSENTIAL MASSAGE

Practice address

803 Vandercook Way
Ste 2
Longview, WA 98632-4057

Phone

(360) 425-1826

NPI assigned

Oct 20, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Elly Beach, CMT, LMP

Title

Owner

Phone

(360) 425-1826

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445299200000",
    "number": "1750753513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 VANDERCOOK WAY",
            "address_2": "STE 2",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324057",
            "telephone_number": "360-425-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 VANDERCOOK WAY",
            "address_2": "STE 2",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986324057",
            "telephone_number": "360-425-1826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLE'S ESSENTIAL MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-20",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "ELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-425-1826",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMT, LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "603544296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Davenport Eigner, MD
• Paul David Eisenhauer, PHARMACIST
• Iheke Okorie Ekeya, PHARMD
• Elaine Cox (Lower Columbia Occupational Health)
• Sonya Marie Elhardt, LMP
• Arlene F. Elliott, M.S.W.
• Michele Ellis
• Sheila L Elting, LMP
• William J Elton, MD
• Matthew Elyea, PA-C

• Specialist in Longview, WA
• Providers in Longview, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2015; 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.