Active NPI
Tyrell Allen Tonasket, L.M.P.
- Massage Therapist
- Inchelium, WA
National Provider Identifier
1972926574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA 60432539
- Practice address
- 39 Shortcut Road
Inchelium, WA 99138 - Phone
- (509) 722-4222
- NPI assigned
- Feb 3, 2014
- Last updated
- Feb 3, 2014
- 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 | MA 60432539 | WA | Primary |
Addresses
Primary practice location
39 Shortcut Road
Inchelium, WA 99138
Mailing address
P.O. Box 359
Inchelium, WA 99183
Phone (509) 722-7064
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 |
|---|---|---|---|
| MA 60432539 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391385600000",
"number": "1972926574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 359",
"city": "INCHELIUM",
"state": "WA",
"postal_code": "99183",
"telephone_number": "509-722-7064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 SHORTCUT ROAD",
"city": "INCHELIUM",
"state": "WA",
"postal_code": "99138",
"telephone_number": "509-722-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONASKET",
"first_name": "TYRELL",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "L.M.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-03",
"last_updated": "2014-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA 60432539",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inchelium, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.