NPIMap

Organization Active NPI

Lake Stevens Massage Therapy, Inc.

  • Massage Therapist
  • Lake Stevens, WA
National Provider Identifier
1821603291
Registry record updated Sep 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
LAKE STEVENS MASSAGE THERAPY, INC.
Practice address
25 95TH Dr NE Ste 105
Lake Stevens, WA 98258-7976
Phone
(425) 334-9137
Fax
(425) 377-9487
NPI assigned
Sep 12, 2020
Last updated
Sep 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2020

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

Authorized official

Name
Ms. Joyce A MarshNPI 1851447155
Title
President
Phone
(425) 238-3731

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

25 95TH Dr NE Ste 105
Lake Stevens, WA 98258-7976

Mailing address

25 95TH Dr NE Ste 105
Lake Stevens, WA 98258-7976
Phone (425) 334-9137

National Provider Directory

National Provider Directory

Locations

25 95th Dr NE
Ste 105
Lake Stevens, WA 98258
Phone (425) 334-9137

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1599868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599868800000",
    "number": "1821603291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 95TH DR NE STE 105",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587976",
            "telephone_number": "425-334-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 95TH DR NE STE 105",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982587976",
            "telephone_number": "425-334-9137",
            "fax_number": "425-377-9487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE STEVENS MASSAGE THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-12",
        "last_updated": "2020-09-12",
        "certification_date": "2020-09-12",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-238-3731",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2020; 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.