Arielle N Brasel, LMP
Individual provider Active NPI Massage Therapist · Aberdeen, WA
NPI 1891054342 · NPPES record last updated May 3, 2012
Key facts
- NPI
- 1891054342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MASS.MA.60283480 (WA)
- Practice address
- 5912 Central Park Dr
Aberdeen, WA 98520 - Phone
- (360) 581-8088
- NPI assigned
- May 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MASS.MA.60283480 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MASS.MA.60283480 | WA | Yes |
Addresses
Primary practice location
5912 Central Park Dr
Aberdeen, WA 98520
Mailing address
5912 Central Park Dr
Aberdeen, WA 98520
Phone (360) 581-8088
NPI Registry JSON
{
"created_epoch": "1336003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1336003200000",
"number": "1891054342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5912 CENTRAL PARK DR",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "98520",
"telephone_number": "360-581-8088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5912 CENTRAL PARK DR",
"city": "ABERDEEN",
"state": "WA",
"postal_code": "98520",
"telephone_number": "360-581-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASEL",
"first_name": "ARIELLE",
"middle_name": "N",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-03",
"last_updated": "2012-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MASS.MA.60283480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aberdeen, WA
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All providers in Aberdeen, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.