Shalesa Marie Kovash, L.M.P

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00024313 Issued in WA

Practice address

43804 284TH Ave SE
Enumclaw, WA 98022-9280

Phone

(253) 736-5583

NPI assigned

Jun 16, 2008

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

State licenses

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1871753590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 COLE ST",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980222636",
            "telephone_number": "136-082-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43804 284TH AVE SE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980229280",
            "telephone_number": "253-736-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVASH",
        "first_name": "SHALESA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "L.M.P",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00024313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Enumclaw, WA
• Providers in Enumclaw, 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 16, 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.

Verify at the official NPI Registry.