Pedro M Iron Wing, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60178648 Issued in WA

Practice address

4511 73Rd PL NE Apt 6
Marysville, WA 98270-3785

Phone

(425) 737-7235

NPI assigned

Mar 18, 2011

Last updated

Mar 18, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1962701862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982700183",
            "telephone_number": "425-737-7235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4511 73RD PL NE APT 6",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703785",
            "telephone_number": "425-737-7235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRON WING",
        "first_name": "PEDRO",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60178648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrated Rehab Group Limited Partnership
• Integrated Rehabilitation Group, PC (IRG Physical & Hand Therapy - Smokey Point)
• Integrated Rehabilitation Group, PC (IRG Physical & Hand Therapy - Marysville)
• Integrative Psychological and Social Services
• Durdana Naz Iqbal
• Mark M Iseri, RPH
• Sanimyan Ishaque, PHARMD
• Genelle Jackson
• Julie Jager, PHARM D
• Anna Jain, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.