Active NPI
Shirley Harrieta Axling, LMP
- Massage Therapist
- Kent, WA
National Provider Identifier
1861667479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00018161
- Practice address
- 15220 SE 272ND St
Ste G
Kent, WA 98042-4241 - Phone
- (253) 630-6768
- Fax
- (253) 630-6639
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00018161 | WA | Primary |
Addresses
Primary practice location
15220 SE 272ND St
Ste G
Kent, WA 98042-4241
Mailing address
15220 SE 272ND St
Ste G
Kent, WA 98042-4241
Phone (253) 630-6768
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00018161 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elle a Clinical Day Spa, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Kent, WA
- NPI 1346406279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1861667479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15220 SE 272ND ST",
"address_2": "STE G",
"city": "KENT",
"state": "WA",
"postal_code": "980424241",
"telephone_number": "253-630-6768",
"fax_number": "253-630-6639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15220 SE 272ND ST",
"address_2": "STE G",
"city": "KENT",
"state": "WA",
"postal_code": "980424241",
"telephone_number": "253-630-6768",
"fax_number": "253-630-6639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AXLING",
"first_name": "SHIRLEY",
"middle_name": "HARRIETA",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00018161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kent, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.