Natural Theraputic Massage, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00024312 Issued in WA

Legal business name

NATURAL THERAPUTIC MASSAGE, LLC

Practice address

11314 4TH Avenue W., Ste 103
Everett, WA 98204

Phone

(425) 355-3739

NPI assigned

Mar 25, 2009

Organization subpart

No

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

Authorized official

Name

Kristen Jenkins, LMP

Title

Owner

Phone

(360) 421-4097

Specialties & licenses 1

Addresses

Other names 1

• Kristen Jenkins, LMP Doing business as

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

{
    "created_epoch": "1237939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1760624530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22128 STATE ROUTE 9, LOT 15",
            "city": "MT. VERNON",
            "state": "WA",
            "postal_code": "98274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11314 4TH AVENUE W., STE 103",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98204",
            "telephone_number": "425-355-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL THERAPUTIC MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-25",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-421-4097",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kristen Jenkins, LMP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Everett, WA
• Providers in Everett, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.