Active NPI
Catherine Mann, LMT,LMP, NCBTMB
- Massage Therapist
- Vancouver, WA
National Provider Identifier
1912065459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 19224
- Practice address
- 1412 NE 134TH St
#260
Vancouver, WA 98685-2719 - Phone
- (360) 574-3668
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 19224 | WA | Primary |
Addresses
Primary practice location
1412 NE 134TH St
#260
Vancouver, WA 98685-2719
Mailing address
404 NE 73Rd Ave
Portland, OR 97213-6308
Phone (503) 347-3591
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19224 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912065459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 NE 73RD AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972136308",
"telephone_number": "503-347-3591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1412 NE 134TH ST",
"address_2": "#260",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986852719",
"telephone_number": "360-574-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANN",
"first_name": "CATHERINE",
"credential": "LMT,LMP, NCBTMB",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "19224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.