Sandra Jean Cyr, LMP – Massage Therapist

Key facts

NPI: 1821207697
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: MA00018303 (WA)
Practice address: 400 E Evergreen Blvd Ste 106a
Vancouver, WA 98660-3385
Phone: (360) 521-6197
NPI assigned: May 21, 2007
Sex: Female
Sole proprietor: Yes

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 and National Provider Directory roles.

Escape Massage Therapy Massage Therapist · Vancouver, WA · NPI 1346459302

NPD (past) MASSAGE THERAPIST

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
MA00018303	WA	MD	Massage Therapist

Practice roles

Organization	Specialty	Status	New patients
Escape Massage Therapy	Massage Therapist	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist	225700000X	MA00018303	WA	Yes

Addresses

Primary practice location

400 E Evergreen Blvd Ste 106a
Vancouver, WA 98660-3385

Mailing address

120 NE 117TH Ave
Vancouver, WA 98684-5020
Phone (360) 944-6692

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 19, 2021.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1821207697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NE 117TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845020",
            "telephone_number": "360-944-6692",
            "fax_number": "360-944-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD STE 106A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603385",
            "telephone_number": "360-521-6197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYR",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00018303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

All providers in Vancouver, WA · Massage Therapist in Washington

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.