Northwest Massage and Holistic Healing Center

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60303219 Issued in WA

Legal business name

NORTHWEST MASSAGE AND HOLISTIC HEALING CENTER

Practice address

145 E Washington St
Sequim, WA 98382-4107

Phone

(360) 477-8553

Fax

(360) 443-4203

NPI assigned

Nov 20, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kevin W Pedrey, MA60303219NPI 1639544943

Title

Licensed Massage Practitioner

Phone

(360) 477-8553

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Pedrey, LMP

  • Massage Therapist
  • Sequim, WA
  • NPI 1639544943
  NPD (past) Authorized official

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

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1962876409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 E WASHINGTON ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983824107",
            "telephone_number": "360-477-8553",
            "fax_number": "360-443-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 E WASHINGTON ST",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983824107",
            "telephone_number": "360-477-8553",
            "fax_number": "360-443-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST MASSAGE AND HOLISTIC HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "PEDREY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "LICENSED MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "360-477-8553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA60303219"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60303219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; 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.