Paulette Guilbault, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60886389 Issued in WA

Practice address

1412 E Yelm Ave Ste C101
Yelm, WA 98597-8328

Phone

(306) 458-7533

Fax

(360) 458-7699

NPI assigned

Aug 5, 2020

Last updated

Aug 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1891305777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 E YELM AVE STE C101",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978328",
            "telephone_number": "306-458-7533",
            "fax_number": "360-458-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 E YELM AVE STE C101",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978328",
            "telephone_number": "306-458-7533",
            "fax_number": "360-458-7699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUILBAULT",
        "first_name": "PAULETTE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60886389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.