Wellness Massage, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

WELLNESS MASSAGE, LLC

Practice address

100 Ruby St SE
Suite F
Tumwater, WA 98501-6723

Phone

(360) 943-4797

NPI assigned

Jun 24, 2015

Organization subpart

No

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

Authorized official

Name

Nicole Anderson

Title

Owner

Phone

(360) 584-8031

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435104000000",
    "number": "1790167971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 RUBY ST SE STE F",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016724",
            "telephone_number": "360-943-4797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 RUBY ST SE",
            "address_2": "SUITE F",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016723",
            "telephone_number": "360-943-4797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-584-8031"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Richard Warren, PHARMD
• Washington State Department of Corrections
• Washington State Department of Health
• Sherry Lorraine Watson, CDP
• Faith Wellander
• Samantha West
• Reyni Jade Westby, L.AC
• Jessica Tami Wharton, LPN
• Nancie Whitcomb, RN
• Ashley White

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

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