Active NPI
Tara Borders Dollar
- Massage Therapist
- Chewelah, WA
National Provider Identifier
1780233254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60999783
- Practice address
- 110 E Main Ave
Chewelah, WA 99109-8960 - Phone
- (509) 936-0520
- NPI assigned
- Sep 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 60999783 | WA | Primary |
Addresses
Primary practice location
110 E Main Ave
Chewelah, WA 99109-8960
Mailing address
707 N Victoria St
Chewelah, WA 99109-9176
Phone (509) 936-0520
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60999783 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567900800000",
"number": "1780233254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 N VICTORIA ST",
"city": "CHEWELAH",
"state": "WA",
"postal_code": "991099176",
"telephone_number": "509-936-0520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 E MAIN AVE",
"city": "CHEWELAH",
"state": "WA",
"postal_code": "991098960",
"telephone_number": "509-936-0520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BORDERS DOLLAR",
"first_name": "TARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-08",
"last_updated": "2019-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "60999783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chewelah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.