Active NPI
Christl Joy Board, LMP
- Massage Therapist
- Renton, WA
National Provider Identifier
1790003697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 00019532
- Practice address
- 320 Lynnwood Ave SE
Renton, WA 98056-5825 - Phone
- (206) 631-0942
- NPI assigned
- May 17, 2010
- 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 | 00019532 | WA | Primary |
Addresses
Primary practice location
320 Lynnwood Ave SE
Renton, WA 98056-5825
Mailing address
320 Lynnwood Ave SE
Renton, WA 98056-5825
Phone (206) 631-0942
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 |
|---|---|---|---|
| 00019532 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274054400000",
"number": "1790003697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 LYNNWOOD AVE SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980565825",
"telephone_number": "206-631-0942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 LYNNWOOD AVE SE",
"city": "RENTON",
"state": "WA",
"postal_code": "980565825",
"telephone_number": "206-631-0942"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOARD",
"first_name": "CHRISTL",
"middle_name": "JOY",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-17",
"last_updated": "2010-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "00019532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Renton, WA
- Leeann Marie Blattner, ARNP
- Aminta Ann Blinka, M.D.
- Terence A Block, MD
- Blue Wave Eye Doctors Professional Limited Liability Company (Visionworks Doctors of Optometry)
- Nicole Averil Blythe, MSW
- Aaron Justin Bobb, MD
- Clinton T Bocanegra, LAT, ATC
- Barry I. Bockow, M.D.
- Bodyfix PT and Performance
- Jenna Boerboom, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.