Individual provider Active NPI

Damian Justin Woodard, MASSAGE THERAPIST

  • Massage Therapist
  • Spokane Valley, WA
National Provider Identifier
1790643047
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MASS.MA.60899469 Issued in WA
Practice address
13701 E Sprague Ave # 3
Spokane Valley, WA 99216-0811
Phone
(509) 922-4458
Fax
(509) 922-8234
NPI assigned
Jan 14, 2026
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MASS.MA.60899469 WA Primary

Addresses

Primary practice location

13701 E Sprague Ave # 3
Spokane Valley, WA 99216-0811

Mailing address

17010 E Desmet CT Apt P201
Spokane Valley, WA 99216-3607
Phone (509) 768-0134

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

LicenseStateTypeSpecialty
MASS.MA.60899469WAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1768348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1790643047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17010 E DESMET CT APT P201",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992163607",
            "telephone_number": "509-768-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13701 E SPRAGUE AVE # 3",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160811",
            "telephone_number": "509-922-4458",
            "fax_number": "509-922-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODARD",
        "first_name": "DAMIAN",
        "middle_name": "JUSTIN",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-14",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MASS.MA.60899469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.