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EVERGREEN MASSAGE THERAPY PS NPI 1184996159


NPI Information

NPI: 1184996159
Provider Name: EVERGREEN MASSAGE THERAPY, PS
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1048 W JAMES ST STE 104
KENT, WA
ZIP 98032
Phone: (253) 850-2800
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EVERGREEN MASSAGE THERAPY, PS is a specialist in Kent, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. EVERGREEN MASSAGE THERAPY, PS NPI is 1184996159. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1048 W JAMES ST STE 104
KENT, WA
ZIP 98032-600
Phone: (253) 850-2800
Fax: (253) 850-2805

The provider's authorized official is Teri Green .
The authorized official title is Owner/licensed Massage Therapist and has the following contact phone number (253) 850-2800.

The enumeration date for this NPI number is 2/6/2012 and was last updated on 2/6/2012.


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
1174400000XSpecialistMA00016443WASHINGTONYes

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
11568786531OTHERWASHINGTONNPI
21851442354OTHERWASHINGTONNPI
31992862007OTHERWASHINGTONNPI
41649571944OTHERWASHINGTONNPI
51003032434OTHERWASHINGTONNPI
61548402183OTHERWASHINGTONNPI
71790833879OTHERWASHINGTONNPI

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

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