Active NPI
Heather D Glenn, LMT
- Massage Therapist
- Mount Vernon, WA
National Provider Identifier
1790961928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00022972
- Practice address
- 311 Myrtle St
Mount Vernon, WA 98273-3859 - Phone
- (360) 721-5320
- NPI assigned
- Jan 17, 2008
- Last updated
- Jul 24, 2026
- 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 | MA00022972 | WA | Primary |
Addresses
Primary practice location
311 Myrtle St
Mount Vernon, WA 98273-3859
Mailing address
2790 Blue Mountain Rd
Sedro Woolley, WA 98284-9688
Phone (360) 721-5320
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 |
|---|---|---|---|
| MA00022972 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savannah Chiropractic Clinic | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Peterson Family Chiropractic
- Chiropractor
- Arlington, WA
- NPI 1679750558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1790961928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2790 BLUE MOUNTAIN RD",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982849688",
"telephone_number": "360-721-5320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "311 MYRTLE ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982733859",
"telephone_number": "360-721-5320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLENN",
"first_name": "HEATHER",
"middle_name": "D",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-17",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00022972",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.