Organization Active NPI

Healing Touch Massage

  • Massage Therapist
  • Othello, WA
National Provider Identifier
1992826549
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MA00015323 Issued in WA
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 Directory

Locations

110 S Broadway Ave
Othello, WA 99344
Phone (509) 989-0875

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0149997OtherWAL&I

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.