Athletic Stretch Therapy

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

60299782 Issued in WA

Legal business name

ATHLETIC STRETCH THERAPY

Practice address

118 105TH Ave NE
Bellevue, WA 98004-5913

Phone

(206) 486-6683

Fax

(206) 858-9655

NPI assigned

Nov 30, 2015

Organization subpart

No

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

Authorized official

Name

Siobhan Coleman, LMP

Title

Owner/Massage Therapist

Phone

(208) 486-6683

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448841600000",
    "number": "1891169991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 105TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045913",
            "telephone_number": "206-486-6683",
            "fax_number": "206-858-9655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 105TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045913",
            "telephone_number": "206-486-6683",
            "fax_number": "206-858-9655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC STRETCH THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-30",
        "last_updated": "2015-11-30",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "SIOBHAN",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERAPIST",
        "authorized_official_telephone_number": "208-486-6683",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60299782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2015; 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.