Active NPI
Samuel Artsiukh, LMT
- Massage Therapist
- Moses Lake, WA
National Provider Identifier
1972366839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61493195
- Practice address
- 835 E Colonial Ave
Moses Lake, WA 98837-4617 - Phone
- (509) 764-6777
- NPI assigned
- Feb 2, 2024
- Last updated
- Feb 2, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 61493195 | WA | Primary |
Addresses
Primary practice location
835 E Colonial Ave
Moses Lake, WA 98837-4617
Mailing address
6621 Road E.2 NE
Moses Lake, WA 98837-4329
Phone (864) 804-7895
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61493195 | WA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Chiropractic | Current | Accepting new patients |
Locations
835 E Colonial Ave
Moses Lake, WA 98837
Phone (509) 764-6777
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Moses Lake, WA
- NPI 1417738915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1972366839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6621 ROAD E.2 NE",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988374329",
"telephone_number": "864-804-7895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 E COLONIAL AVE",
"city": "MOSES LAKE",
"state": "WA",
"postal_code": "988374617",
"telephone_number": "509-764-6777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARTSIUKH",
"first_name": "SAMUEL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-02-02",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "61493195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moses Lake, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.