Organization Active NPI

Massage by Cora Yoone PLLC

  • Health Service Clinic/Center
  • Chehalis, WA
National Provider Identifier
1801645502
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
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

Updated by the provider on May 15, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.