Valley Massage Clinic

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

VALLEY MASSAGE CLINIC

Practice address

12121 E Broadway Ave Ste 5B
Spokane Valley, WA 99206-4972

Phone

(509) 954-7354

Fax

(509) 921-9810

NPI assigned

Apr 6, 2022

Organization subpart

No

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

Authorized official

Name

Toni Novikoff

Title

Manager/Govenor

Phone

(509) 599-9196

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1649203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1861133514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12121 E BROADWAY AVE STE 5B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064972",
            "telephone_number": "509-954-7354",
            "fax_number": "509-921-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12121 E BROADWAY AVE STE 5B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992064972",
            "telephone_number": "509-954-7354",
            "fax_number": "509-921-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MASSAGE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-06",
        "last_updated": "2022-04-06",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "NOVIKOFF",
        "authorized_official_first_name": "TONI",
        "authorized_official_title_or_position": "MANAGER/GOVENOR",
        "authorized_official_telephone_number": "509-599-9196"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "officevmc@comcast.net",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "12121 E Broadway Ave Ste 5B",
            "city": "Spokane Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "992064972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Specialist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.