Touch of Grace Massage and Well-Spa, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60036366 Issued in WA

Legal business name

TOUCH OF GRACE MASSAGE AND WELL-SPA, LLC

Doing business as

Touch Of Grace Medical Massage and Rehabilitation LLC

Practice address

1114 Court E
Tacoma, WA 98402-2002

Phone

(253) 241-0118

NPI assigned

Jan 16, 2009

Last updated

May 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Renee Peters-Poonkasem, L.M.P.NPI 1558874032

Title

Menber1/Manager LLC

Phone

(253) 241-0118

Specialties & licenses 1

Addresses

Other names 1

• Touch Of Grace Medical Massage and Rehabilitation LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Peters-Poonkasem, LMP

  • Massage Therapist
  • Tacoma, WA
  • NPI 1558874032
  NPD (past) Authorized official

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1861639528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 N PROCTOR ST",
            "address_2": "#507",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984065338",
            "telephone_number": "253-241-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 COURT E",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984022002",
            "telephone_number": "253-241-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOUCH OF GRACE MASSAGE AND WELL-SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "PETERS-POONKASEM",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "MENBER1/MANAGER LLC",
        "authorized_official_telephone_number": "253-241-0118",
        "authorized_official_credential": "L.M.P."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60036366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Touch Of Grace Medical Massage and Rehabilitation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.