Myklos Fahey, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60704857 Issued in WA

Practice address

3610 Grandview St
Gig Harbor, WA 98335-1135

Phone

(253) 853-1900

NPI assigned

May 3, 2017

Last updated

Mar 31, 2020By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1972039436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 GRANDVIEW ST",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351135",
            "telephone_number": "253-853-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 GRANDVIEW ST",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351135",
            "telephone_number": "253-853-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAHEY",
        "first_name": "MYKLOS",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60704857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nolan Craig Ethridge, D.C.
• Sarahlynn Meliai Etta, LMP
• James Eustace
• Evolve Health Care, LLC
• Craig Bryan Faeth, PT, ATC
• Raed N Fahmy
• Tara Fairfield, ED.D.
• Family Practice of Chiropractic Inc. P.S.
• Katherine Y Fan, M.D.
• Trey Farber, DC

• Massage Therapist in Gig Harbor, WA
• Providers in Gig Harbor, 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 31, 2020; 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.