Individual provider Active NPI

Bryce Tanner Cronquist, LMP

  • Massage Therapist
  • Spokane Valley, WA
National Provider Identifier
1760967947
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60449400 Issued in WA
Practice address
13701 E Sprague Ave
Spokane Valley, WA 99216-0811
Phone
(509) 922-5585
Fax
(509) 927-7336
NPI assigned
Oct 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60449400 WA Primary

Addresses

Primary practice location

13701 E Sprague Ave
Spokane Valley, WA 99216-0811

Mailing address

13701 E Sprague Ave
Spokane Valley, WA 99216-0811
Phone (509) 922-5585

Other practice location 1

9671 N Nevada St Ste 100
Spokane, WA 99218-1146
Phone (509) 467-3336

Other practice location 2

1334 N Whitman Ln Ste 140
Liberty Lake, WA 99019-6034
Phone (509) 924-7568

Other practice location 3

417 W 1st Ave Ste 1B
Spokane, WA 99201-6001
Phone (509) 747-9999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Theology

State licenses

LicenseStateTypeSpecialty
MA60449400WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark WM Houk ,D.C. P.S. PastSince Jan 1, 1994 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1760967947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160811",
            "telephone_number": "509-922-5585",
            "fax_number": "509-927-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160811",
            "telephone_number": "509-922-5585",
            "fax_number": "509-927-7336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9671 N Nevada St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992181146",
            "country_code": "US",
            "telephone_number": "509-467-3336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1334 N Whitman Ln Ste 140",
            "address_purpose": "LOCATION",
            "city": "Liberty Lake",
            "state": "WA",
            "postal_code": "990196034",
            "country_code": "US",
            "telephone_number": "509-924-7568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "417 W 1st Ave Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992016001",
            "country_code": "US",
            "telephone_number": "509-747-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRONQUIST",
        "first_name": "BRYCE",
        "middle_name": "TANNER",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-03",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60449400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.