Active NPI
Massage by Cora Yoone PLLC
- Health Service Clinic/Center
- Chehalis, WA
National Provider Identifier
1801645502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- MASSAGE BY CORA YOONE PLLC
- Practice address
- 2451 NE Kresky Ave Unit G
Chehalis, WA 98532-2436 - Phone
- (206) 779-5482
- NPI assigned
- May 15, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sara Mae Brereton, LMT
- Title
- Massage Therapist/Owner
- Phone
- (206) 779-5482
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
2451 NE Kresky Ave Unit G
Chehalis, WA 98532-2436
Mailing address
2451 NE Kresky Ave Unit G
Chehalis, WA 98532-2436
Phone (206) 779-5482
National Provider Directory
National Provider DirectoryLocations
2451 NE Kresky Ave
Unit G
Chehalis, WA 98532
Phone (206) 779-5482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715731200000",
"number": "1801645502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 NE KRESKY AVE UNIT G",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985322436",
"telephone_number": "206-779-5482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 NE KRESKY AVE UNIT G",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985322436",
"telephone_number": "206-779-5482"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MASSAGE BY CORA YOONE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-15",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A",
"authorized_official_last_name": "BRERETON",
"authorized_official_first_name": "SARA MAE",
"authorized_official_title_or_position": "MASSAGE THERAPIST/OWNER",
"authorized_official_telephone_number": "206-779-5482",
"authorized_official_credential": "LMT"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chehalis, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.