Northern Lights Massage, PLLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

NORTHERN LIGHTS MASSAGE, PLLC

Practice address

704 Warren Ave N
Seattle, WA 98109-4027

Phone

(206) 588-5079

NPI assigned

Sep 6, 2019

Organization subpart

No

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

Authorized official

Name

Olesya KryvoruchkoNPI 1235690561

Title

Owner/Massage Therapist

Phone

(954) 857-7482

Specialties & licenses 1

Addresses

Practitioners 1

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

• Olesya Kryvoruchko, LMT

  • Massage Therapist
  • Seattle, WA
  • NPI 1235690561
  NPD (past) Authorized official

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1871142380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 12TH AVE APT 404",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981223294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 WARREN AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094027",
            "telephone_number": "206-588-5079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN LIGHTS MASSAGE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "KRYVORUCHKO",
        "authorized_official_first_name": "OLESYA",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "954-857-7482"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charity Northan James, MS, MA, LMHC, LPC
• Northaven Assisted Living
• Northbound Treatment Services of Washington, LLC
• Northeast Seattle Orthodontics
• Northern Acupuncture
• Chris Thomas Northern
• Megan Northey, DPT
• Suzanne Lynne Northey, MS LMFT
• Northgate Accident & Injury PS
• Northgate Chiropractic PLLC

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

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