Massage by Willow, Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA000022694 Issued in WA

Legal business name

MASSAGE BY WILLOW, INC

Practice address

108 SE 124TH Ave
Vancouver, WA 98684-6015

Phone

(360) 921-5004

NPI assigned

Apr 25, 2013

Organization subpart

No

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

Authorized official

Name

Willow Michelle Hajicek, L.M.P

Title

Owner

Phone

(360) 921-5004

Specialties & licenses 1

Addresses

Other names 1

• Willow Hajicek, LMP Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Willow Michelle Robinson, LMP

  • Specialist
  • Vancouver, WA
  • NPI 1568654796
  NPD (past)

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1770927360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1813 SE 187TH PL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839767",
            "telephone_number": "360-921-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 SE 124TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986846015",
            "telephone_number": "360-921-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE BY WILLOW, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "HAJICEK",
        "authorized_official_first_name": "WILLOW",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-921-5004",
        "authorized_official_credential": "L.M.P"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA000022694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willow Hajicek, LMP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Massage Therapist in Vancouver, WA
• Providers in Vancouver, 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 25, 2013; 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.