Kha Hoang, MA61112149

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61112149 Issued in WA

Practice address

1412 E Yelm Ave Ste C101
Yelm, WA 98597-8328

Phone

(360) 458-7533

NPI assigned

Jul 19, 2021

Sex

Male

Sole proprietor

No

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1861065831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 SYCAMORE ST SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985033338",
            "telephone_number": "360-878-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 E YELM AVE STE C101",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978328",
            "telephone_number": "360-458-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "KHA",
        "credential": "MA61112149",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61112149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heart 2 Heart Homecare LLC
• Mariana M Heinitz, DPT
• Essie Stouffer Hicks, LMT
• Jessica Lynn Hicks
• Shelli Hill
• Hope for Heroes Horsemanship Center
• Connie Hopkins
• Jeannette Mae Horton, LMHC
• Rebekah Elizabeth Hume, RN
• Ijeoma Augusta Igwe, LPN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.