Individual provider Active NPI

Jessie Letteer, LMP

  • Massage Therapist
  • Olympia, WA
National Provider Identifier
1770935090
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA 60635475 Issued in WA
Practice address
1946 4TH Ave E
Olympia, WA 98506-4632
Phone
(360) 352-3333
NPI assigned
Jul 11, 2016
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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 MA 60635475 WA Primary

Addresses

Primary practice location

1946 4TH Ave E
Olympia, WA 98506-4632

Mailing address

2900 Limited LN NW Apt B308
Olympia, WA 98502-2722
Phone (360) 520-6311

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

State licenses

LicenseStateTypeSpecialty
MA 60635475WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1770935090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 LIMITED LN NW APT B308",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985022722",
            "telephone_number": "360-520-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 4TH AVE E",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985064632",
            "telephone_number": "360-352-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LETTEER",
        "first_name": "JESSIE",
        "name_prefix": "Miss",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-11",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60635475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.