NPIMap

Organization Active NPI

Olympus Spa

  • Massage Therapist
  • Lakewood, WA
National Provider Identifier
1801274543
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA60533053 Issued in WA
Legal business name
OLYMPUS SPA
Practice address
8615 S Tacoma Way
Lakewood, WA 98499-4542
Phone
(253) 588-3355
Fax
(253) 588-3367
NPI assigned
May 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Authorized official

Name
Talitha Ann Eustice
Title
Licensed Massage Practitioner
Phone
(469) 554-9642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA60533053 WA Primary

Addresses

Primary practice location

8615 S Tacoma Way
Lakewood, WA 98499-4542

Mailing address

8615 S Tacoma Way
Lakewood, WA 98499-4542
Phone (253) 588-3355

National Provider Directory

National Provider Directory
Tax ID family
Olympus Spa2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1431561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431561600000",
    "number": "1801274543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 S TACOMA WAY",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994542",
            "telephone_number": "253-588-3355",
            "fax_number": "253-588-3367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 S TACOMA WAY",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984994542",
            "telephone_number": "253-588-3355",
            "fax_number": "253-588-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPUS SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-14",
        "last_updated": "2015-05-14",
        "status": "A",
        "authorized_official_last_name": "EUSTICE",
        "authorized_official_first_name": "TALITHA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "LICENSED MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "469-554-9642"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60533053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

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