Active NPI
Healing Touch Massage
- Massage Therapist
- Othello, WA
National Provider Identifier
1992826549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA00015323
- Legal business name
- HEALING TOUCH MASSAGE
- Practice address
- 110 S Broadway Ave
Othello, WA 99344-1346 - Phone
- (509) 989-0875
- Fax
- (509) 488-7224
- NPI assigned
- Apr 2, 2007
- Organization subpart
- No
National Provider Directory
National Provider DirectoryLocations
110 S Broadway Ave
Othello, WA 99344
Phone (509) 989-0875
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Deborah M. Russell, LMP
- Title
- Massage Therapist
- Phone
- (509) 989-0875
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA00015323 | WA | Primary |
Addresses
Primary practice location
110 S Broadway Ave
Othello, WA 99344-1346
Mailing address
110 S Broadway Ave
Othello, WA 99344-1346
Phone (509) 989-0875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149997 | Other | WA | L&I |
NPI Registry JSON
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214956800000",
"number": "1992826549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 S BROADWAY AVE",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441346",
"telephone_number": "509-989-0875",
"fax_number": "509-488-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 S BROADWAY AVE",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441346",
"telephone_number": "509-989-0875",
"fax_number": "509-488-7224"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING TOUCH MASSAGE",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2008-07-02",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "DEBORAH",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "MASSAGE THERAPIST",
"authorized_official_telephone_number": "509-989-0875",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMP"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA00015323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0149997",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Othello, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.