NPIMap

Organization Active NPI

Sparks Massage LLC-Dba Elements Masssage

  • Massage Therapist
  • Spokane, WA
National Provider Identifier
1770979411
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60026751 Issued in WA
Legal business name
SPARKS MASSAGE LLC-DBA ELEMENTS MASSSAGE
Practice address
101 E. Hastings Rd.
Spokane, WA 99218
Phone
(506) 340-3303
NPI assigned
Apr 9, 2015
Last updated
Apr 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Authorized official

Name
Isiah Aaron Dean Howard-Middleton, LMP
Title
Massage Therapist
Phone
(509) 710-5461

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA60026751 WA Primary

Addresses

Primary practice location

101 E. Hastings Rd.
Spokane, WA 99218

Mailing address

101 E Hastings Rd
Spokane, WA 99218-4901
Phone (509) 340-3303

National Provider Directory

National Provider Directory
Tax ID family
Elements Therapeutic Massage4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1428537600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428537600000",
    "number": "1770979411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E HASTINGS RD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992184901",
            "telephone_number": "509-340-3303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E. HASTINGS RD.",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99218",
            "telephone_number": "506-340-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARKS MASSAGE LLC-DBA ELEMENTS MASSSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-09",
        "last_updated": "2015-04-09",
        "status": "A",
        "authorized_official_last_name": "HOWARD-MIDDLETON",
        "authorized_official_first_name": "ISIAH",
        "authorized_official_middle_name": "AARON DEAN",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "509-710-5461",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60026751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; 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.