Amy Axt Hanson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

60058900 Issued in WA

Practice address

2520 N Adams St
Tacoma, WA 98406-5328

Phone

(253) 222-3651

NPI assigned

Dec 22, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Monroe Therapeutic Massage PS

  • Massage Therapist
  • Kent, WA
  • NPI 1659560381
  NPD (past)

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

{
    "created_epoch": "1229904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1760628739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 N LAWRENCE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065510",
            "telephone_number": "253-222-3651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 N ADAMS ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065328",
            "telephone_number": "253-222-3651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "AMY",
        "middle_name": "AXT",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-22",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60058900",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60058900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MA60058900",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheryl Marie Hansen, D.C.
• Stephen Ralph Hansen, DDS
• Thomas James Hansen
• Trenton James Hansen, M.D.
• Julana Hansmeier, ARNP
• Inga B. Hanson
• Jake Ingwer Hanson, D.P.T.
• Kajzoo Grace Hanson
• Timothy Dean Happeny
• Myra Haq, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.