Summer & Steele Enterprises, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

00008012 Issued in WA

Legal business name

SUMMER & STEELE ENTERPRISES, LLC

Practice address

5920 100TH St SW Ste 22
Lakewood, WA 98499-2751

Phone

(253) 722-7600

NPI assigned

Oct 24, 2016

Organization subpart

No

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

Authorized official

Name

Brooke Smith, LICENSED MASSAGE THE

Title

Manager

Phone

(253) 722-7600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Theralist Doing business as

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1821549916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 403RD ST E",
            "city": "EATONVILLE",
            "state": "WA",
            "postal_code": "983289214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 100TH ST SW STE 22",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992751",
            "telephone_number": "253-722-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMER & STEELE ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BROOKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "253-722-7600",
        "authorized_official_credential": "LICENSED MASSAGE THE"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "00008012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "225700000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Theralist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Breonna Kristine Sullivan
• Dianna Sharron Sullivan
• Erica R Sullivan, BS
• Erin Kelley Sullivan, CPC
• Jonathan Bautista Sumait
• Isaiah Jordan Summers, BASW
• Wesley D Sumrall, PA-C
• Superior Tan Inc.
• Joseph Dean Surmick, BA
• Susan Coolbaugh, Inc

• Massage Therapist in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.