MEDICAL MASSAGE INC (NPI# 1902115371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902115371 |
| Entity Type | Organization |
| Organization Name | MEDICAL MASSAGE INC |
| Practice Address |
1800 Cooks Hill Rd Suite A Centralia WA 98531-9072 |
| Mailing Address |
1800 Cooks Hill Rd Centralia WA 98531-9072 |
| Practice Telephone | 3607362853 |
| Practice Fax Number | 3607364159 |
| Mailing Telephone | 3607362853 |
| Mailing Fax Number | 3607364159 |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2010-10-01 |
| Authorized Official Name | MRS. KIMBERLY MICHELLE WILSON (OWNER/LMP) |
| Authorized Official Telephone | 3607362853 |
| Authorized Official Credential | LMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00013686 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942499926 | Medical Massage Inc | Massage Therapist | 1912 S University Dr, Davie, FL 33324-5849 | 2007-10-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MEDICAL MASSAGE INC. |
| Street Address |
1800 COOKS HILL RD SUITE A |
| City | CENTRALIA |
| State | WA |
| Zip Code | 98531-9072 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649267196 | Loren D Cooper | Internal Medicine | 1800 Cooks Hill Rd, Suite B, Centralia, WA 98531-9072 | 2005-09-30 |
| 1316339385 | Justin Charles Cooper | Physician Assistant | 1800 Cooks Hill Rd, Suite F, Centralia, WA 98531-9072 | 2015-02-26 |
| 1093150914 | Sheila Ann Cichoski | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2013-05-06 |
| 1437418175 | Lewis County Community Health Services | Clinic/Center | 1800 Cooks Hill Rd, Suite G, Centralia, WA 98531-9162 | 2012-05-15 |
| 1336430966 | Jacqueline Register | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2011-04-30 |
| 1649574682 | Stephen Bentley | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2011-01-05 |
| 1194031138 | Stephanie Feuchter | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2010-08-27 |
| 1912213943 | Linda Young | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2010-08-27 |
| 1639485675 | Krista Hilleary | Massage Therapist | 1800 Cooks Hill Rd, Suite A, Centralia, WA 98531-9072 | 2010-08-27 |
| 1215248836 | Providence Health & Services - Washington | Urology | 1800 Cooks Hill Rd, Centralia, WA 98531-9072 | 2010-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462205 | Jelisa Renae Thomas | Counselor | 3510 Steelhammer Ln, Centralia, WA 98531 | 2020-06-17 |
| 1205498607 | Jennifer Kristine Mcglynn Paterno | Counselor | 2428 W. Reynods Ave, Centralia, WA 98531 | 2019-07-05 |
| 1538646328 | Adam Jeffrey Moore | Counselor | 3510 Steelhammer Lane, Centralia, WA 98531 | 2018-07-24 |
| 1144706698 | Euijeong Kim | Occupational Therapist | Rehabilitation Therapies, 914 S. Scheuber Rd, Centralia, WA 98531 | 2018-07-18 |
| 1104315266 | Margaret Fowler Floyd | Registered Nurse | Centralia High School, 813 Eshom Road, Centralia, WA 98531 | 2018-05-04 |
| 1124545777 | Samantha Michelle Moody | Speech-Language Pathologist | Centralia School District, 2320 Borst Ave, Centralia, WA 98531 | 2017-08-24 |
| 1821520289 | Alexa Franks | Behavior Technician | 2428 West Reynolds Ave., Centralia, WA 98531 | 2017-04-03 |
| 1023559861 | Brandy Michelle Peterson | Counselor | 135 W. Main Steet, Centralia, WA 98531 | 2017-03-13 |
| 1841738812 | Graceful Healing Naturopathic | Naturopath | 219 N Tower Ave, Suite 304, Centralia, WA 98531 | 2017-02-09 |
| 1043681513 | Angela Naillon | Counselor | 2428 West Reynolds, Centralia, WA 98531 | 2015-10-09 |
| Find all providers in zip 98531 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003475484 | Rachel E Gothard-gollob | Massage Therapist | 500 W Main St Ste D, Centralia, WA 98531-4252 | 2019-06-10 |
| 1326575762 | Tristyn Jay | Massage Therapist | 628 W Main St, Centralia, WA 98531-2845 | 2017-05-16 |
| 1770021214 | Robert Yardley | Massage Therapist | 1325 E Mccord St, Centralia, IL 62801-3610 | 2017-02-04 |
| 1891232062 | Andrea Huhta | Massage Therapist | 1014 N Scheuber Rd Apt 21, Centralia, WA 98531-1568 | 2017-01-26 |
| 1033565742 | Rachael Nicole Smith | Massage Therapist | 1202 S Gold St, Centralia, WA 98531-3716 | 2016-05-11 |
| 1275995417 | Elijah Maxwell | Massage Therapist | 1639 Kresky Ave, Centralia, WA 98531-8912 | 2016-03-27 |
| 1457758104 | Karissa Ashley Steele | Massage Therapist | 1813 Harrison Ave, Centralia, WA 98531-1908 | 2014-11-24 |
| 1912205717 | Danielle Lynn Caywood | Massage Therapist | 1405 Lewis St Apt 23, Centralia, WA 98531-1255 | 2011-03-03 |
| 1396973400 | Kimberly Lynn Prine | Massage Therapist | 103 Jalyn St, Centralia, WA 98531-1730 | 2009-06-26 |
| 1265686968 | Patricia Ann Donoho | Massage Therapist | 109 N Park St, Centralia, IL 62801-2062 | 2008-11-07 |
| Find all providers in CENTRALIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.