Patricia D Glenn, L.M.P., L.M.T.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00009884 Issued in WA

Practice address

13708 97TH Ave NE
Kirkland, WA 98034-1874

Phone

(503) 269-0625

NPI assigned

Jan 5, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sky Valley Wellness, LLC

  dba Sky Valley Wellness

  • Massage Therapist
  • Monroe, WA
  • NPI 1780175885
  NPD (past) Authorized official

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300320000000",
    "number": "1841348158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13708 97TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980341874",
            "telephone_number": "503-269-0625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13708 97TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980341874",
            "telephone_number": "503-269-0625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLENN",
        "first_name": "PATRICIA",
        "middle_name": "D",
        "credential": "L.M.P., L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2011-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00009884",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "11906",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00009884",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "11906",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glad Care Homes LLC
• Aaron Christopher Glade, PH.D., LMFT
• Ilene Glantz, MSW
• Lisa Gleason, RD
• Kevin Gleed
• Xoatlaxopeuhtzin Glezfres, MC55245, SC11871
• Glenda Glinoga
• Tarah Glover, MS, CN, LMT
• Sarah Severance Goble, MPAS, PA-C
• Daniel Scot Godbout, LMP, CN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2011; 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.