Amanda Woodin, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60471245 Issued in WA

Practice address

162 S Main St
Colville, WA 99114-2406

Phone

(509) 684-1420

Fax

(509) 684-6293

NPI assigned

Sep 15, 2014

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pro Bodyworks the Spa, LLC

  • Massage Therapist
  • Colville, WA
  • NPI 1073913885
  NPD (past)

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410739200000",
    "number": "1962803411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "162 S MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142406",
            "telephone_number": "509-684-1420",
            "fax_number": "509-684-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 S MAIN ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142406",
            "telephone_number": "509-684-1420",
            "fax_number": "509-684-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODIN",
        "first_name": "AMANDA",
        "name_prefix": "Miss",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60471245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna L Wing, PA-C
• Ashlee N. Winlow
• Chelsea R Winter
• Kelly Lorraine Witte, PA-C
• Mark Wong, RPT
• Cassidy Woods
• Pamela J Worden, SLP
• Barbara A Wos Elledge, ARNP FNP
• Erin A Zerba
• Teresa Louise Zilka, ARNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.