NPIMap

Organization Active NPI

Myograsp Bodywork

  • Massage Therapist
  • South Bend, WA
National Provider Identifier
1972228997
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MYOGRASP BODYWORK
Practice address
900 W Robert Bush Dr
South Bend, WA 98586
Phone
(208) 627-7636
NPI assigned
Oct 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Ramona Michaela Shatraw, MMPNPI 1134583222
Title
Medical Massage Practitioner
Phone
(208) 627-7637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

900 W Robert Bush Dr
South Bend, WA 98586

Mailing address

PO Box 769
South Bend, WA 98586-0769
Phone (208) 627-7637

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1972228997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 769",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "985860769",
            "telephone_number": "208-627-7637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W ROBERT BUSH DR",
            "city": "SOUTH BEND",
            "state": "WA",
            "postal_code": "98586",
            "telephone_number": "208-627-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOGRASP BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "SHATRAW",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_middle_name": "MICHAELA",
        "authorized_official_title_or_position": "MEDICAL MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "208-627-7637",
        "authorized_official_credential": "MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.