Lacey Marie Halleck, L.M.P.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00021920 Issued in WA

Practice address

151 N Market Blvd Ste B
Chehalis, WA 98532-2677

Phone

(360) 740-9714

Fax

(360) 740-4879

NPI assigned

Jan 4, 2007

Last updated

Oct 16, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1841347911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2739 HEMLOCK ST",
            "city": "LONGVIEW",
            "state": "WA",
            "postal_code": "986322046",
            "telephone_number": "360-740-9714",
            "fax_number": "360-740-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 N MARKET BLVD STE B",
            "city": "CHEHALIS",
            "state": "WA",
            "postal_code": "985322677",
            "telephone_number": "360-740-9714",
            "fax_number": "360-740-4879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLECK",
        "first_name": "LACEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00021920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morrain Rose Hack, RN
• Deb Hadaller
• Sheryl Haga, BS, R-AAC
• Sherrie A Hail-Shea
• Warren Lloyd Hall, RPH
• Marie Elena Halverson
• Marie Angela Hampton, RN
• Jiyeon Han, RPH
• Deborah A Haney, LMP
• Hanger Prosthetics & Orthotics West, Inc.

• Massage Therapist in Chehalis, WA
• Providers in Chehalis, 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 16, 2007; 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.