SUSAN MATTESON LMP NPI 1659427805

NPI Information

NPI: 1659427805
Provider Name: SUSAN MATTESON, LMP
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
213 MADISON AVE N
SUITE 500
BAINBRIDGE ISLAND, WA
ZIP 98110
Phone: (206) 855-0729
Get Directions

Susan Matteson, LMP is a massage therapist in Bainbridge Island, WA. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Susan Matteson, LMP NPI is 1659427805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

213 MADISON AVE N
SUITE 500
BAINBRIDGE ISLAND, WA
ZIP 98110-880
Phone: (206) 855-0729

The enumeration date for this NPI number is 1/27/2007 and was last updated on 1/9/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MA00015534	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MA00015534	OTHER	WASHINGTON	MASSAGE PRACT. LICENSE
2	20-2399197	OTHER		EIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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