CROSSFUNCTION SPORTS MASSAGE PLLC NPI 1316476112

NPI Information

NPI: 1316476112
Provider Name: CROSSFUNCTION SPORTS MASSAGE, PLLC
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
16000 BOTHELL EVERETT HWY UNIT 161
MILL CREEK, WA
ZIP 98012
Phone: (425) 595-3436
Get Directions

CROSSFUNCTION SPORTS MASSAGE, PLLC is a massage therapist in Mill Creek, 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. CROSSFUNCTION SPORTS MASSAGE, PLLC NPI is 1316476112. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16000 BOTHELL EVERETT HWY UNIT 161
MILL CREEK, WA
ZIP 98012-742
Phone: (425) 595-3436
Fax: (425) 595-3436

The provider's authorized official is Jenny Lynn Mapes .
The authorized official title is Owner and has the following contact phone number (425) 595-3436.

The enumeration date for this NPI number is 6/6/2017 and was last updated on 6/6/2017.

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		MA60410229	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	1275949349	OTHER	WASHINGTON	PERSONAL NPI NUMBER

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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