Active NPI
Chanel Kelch, MA
- Massage Therapist
- Tukwila, WA
National Provider Identifier
1932522398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60273541
- Practice address
- 662 Strander Blvd
Tukwila, WA 98188-2923 - Phone
- (425) 204-1575
- Fax
- (425) 204-8488
- NPI assigned
- Jan 21, 2014
- Last updated
- Jan 21, 2014
- Sex
- Female
- Sole proprietor
- No
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 | MA60273541 | WA | Primary |
Addresses
Primary practice location
662 Strander Blvd
Tukwila, WA 98188-2923
Mailing address
662 Strander Blvd
Tukwila, WA 98188-2923
Phone (425) 204-1575
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60273541 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virk Chiropractic Inc. PS | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1932522398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "662 STRANDER BLVD",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882923",
"telephone_number": "425-204-1575",
"fax_number": "425-204-8488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "662 STRANDER BLVD",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882923",
"telephone_number": "425-204-1575",
"fax_number": "425-204-8488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELCH",
"first_name": "CHANEL",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-21",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60273541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.