Sky Valley Wellness, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00009884 Issued in WA

Legal business name

SKY VALLEY WELLNESS, LLC

Practice address

14751 N Kelsey St Ste 110
Monroe, WA 98272-1457

Phone

(503) 269-0625

NPI assigned

May 24, 2018

Organization subpart

No

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

Authorized official

Name

Patricia D Glenn, LMTNPI 1841348158

Title

Member

Phone

(503) 269-0625

Specialties & licenses 1

Addresses

Other names 1

• Sky Valley Wellness Doing business as

Practitioners 1

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

• Patricia D Glenn, L.M.P., L.M.T.

  • Massage Therapist
  • Kirkland, WA
  • NPI 1841348158
  NPD (past) Authorized official

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527120000000",
    "number": "1780175885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13708 97TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980341874",
            "telephone_number": "503-269-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14751 N KELSEY ST STE 110",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721457",
            "telephone_number": "503-269-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY VALLEY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-269-0625",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00009884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sky Valley Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Colette Sitton, RN
• Skinenvy LLC
• Anne Cathryn Skoog, LMP LICENSED MASSAGE
• Sky Valley Chiropractic Clinic P.S.
• Sky Valley Psychedelic Medical
• Dawn Elizabeth Slack, LMT
• Chrystal Slatter, CERTIFIED PEER COUNS
• Gary O Smith, RPH
• Kristin Tomblin Smith, LMP
• Logan Donovon Smith, BS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.