Personalized Health Solutions, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

PERSONALIZED HEALTH SOLUTIONS, LLC

Practice address

1704 N State St
Bellingham, WA 98225-4605

Phone

(360) 922-3120

Fax

(360) 504-0086

NPI assigned

Jan 27, 2020

Organization subpart

No

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

Authorized official

Name

Kerry Gustafson, LAT, ATC, LMT

Title

Owner

Phone

(360) 922-3120

Specialties & licenses 2

Addresses

Other names 1

• Prime Sports Institute Doing business as

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1861023004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254605",
            "telephone_number": "360-922-3120",
            "fax_number": "360-504-0086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 N STATE ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254605",
            "telephone_number": "360-922-3120",
            "fax_number": "360-504-0086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "GUSTAFSON",
        "authorized_official_first_name": "KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-922-3120",
        "authorized_official_credential": "LAT, ATC, LMT"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Sports Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Higgins Pernick I, MSN
• Jessica Mae Perry, L.AC.
• Misti Ann Perry
• Paul David Perry, LMP
• Savannah Louise Perry
• Ira Abraham Perszyk, M.D.
• William Peruel
• Peter M Charron, OD PS
• Robbyn Peters Bennett, MA
• Anna Marie Peters, NURSE PRACTITIONER

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.