Creek Montana Distelrath, LMTP

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

15412 E Sprague Ave Ste 8
Spokane Valley, WA 99037-8841

Phone

(509) 928-9098

NPI assigned

Aug 30, 2017

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1871011718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15412 E SPRAGUE AVE STE 8",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378841",
            "telephone_number": "509-928-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15412 E SPRAGUE AVE STE 8",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378841",
            "telephone_number": "509-928-9098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 N Locust Rd Apt C236",
            "address_purpose": "LOCATION",
            "city": "Spokane Valley",
            "state": "WA",
            "postal_code": "992066826",
            "country_code": "US",
            "telephone_number": "509-608-0365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISTELRATH",
        "first_name": "CREEK",
        "middle_name": "MONTANA",
        "credential": "LMTP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Lynne Dingman
• Carol Ann Dingwall, LMP
• Dawn-Ashley Dipo, LMHCA, NCC
• Emily Dirham
• Katelyn Paige Dirham
• Candace Marie Dixon
• Eryn Dixon, DPT
• Ryan DO
• Katie Lynne Docherty, MSW
• Emina Dodic

• Massage Therapist in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.