NPIMap

Organization Active NPI

Still Waters Massage Inc

  • Massage Therapist
  • Snohomish, WA
National Provider Identifier
1861822652
Registry record updated Nov 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00015044 Issued in WA
Legal business name
STILL WATERS MASSAGE INC
Practice address
1800 Bickford Ave
Suite 201
Snohomish, WA 98290-1771
Phone
(425) 319-1123
Fax
(360) 863-2649
NPI assigned
Nov 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2013

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

Authorized official

Name
Jennifer Sewell, LMPNPI 1295907947
Title
President
Phone
(425) 319-1123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MA00015044 WA Primary

Addresses

Primary practice location

1800 Bickford Ave
Suite 201
Snohomish, WA 98290-1771

Mailing address

1800 Bickford Ave
Suite 201
Snohomish, WA 98290-1771
Phone (425) 319-1123

Other names 1

  • Still Waters Massage Clinic Other name

National Provider Directory

National Provider Directory

Locations

1800 Bickford Ave
Ste 201
Snohomish, WA 98290
Phone (425) 319-1123

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384473600000",
    "number": "1861822652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 BICKFORD AVE",
            "address_2": "SUITE 201",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901771",
            "telephone_number": "425-319-1123",
            "fax_number": "360-863-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 BICKFORD AVE",
            "address_2": "SUITE 201",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982901771",
            "telephone_number": "425-319-1123",
            "fax_number": "360-863-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS MASSAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-15",
        "last_updated": "2013-11-15",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-319-1123",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Still Waters Massage Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; 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.