RELAX MIND & BODY MASSAGE PLLC (NPI# 1255979837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255979837 |
| Entity Type | Organization |
| Organization Name | RELAX MIND & BODY MASSAGE PLLC |
| Other Organization Name | SHANNON INGRUM, LMT |
| Practice Address |
3710 168th St Ne Ste B206 Arlington WA 98223-8465 |
| Practice Telephone | 3606319965 |
| Practice Fax Number | 3603226606 |
| Mailing Telephone | 3606319965 |
| Mailing Fax Number | 3603226606 |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2020-03-12 |
| Authorized Official Name | MS. SHANNON MICHELLE INGRUM (OWNER/LMT) |
| Authorized Official Telephone | 3606319965 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Shannon Ingrum, LMT | Former Legal Business Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | RELAX MIND & BODY MASSAGE PLLC | 3710 168th St Ne Ste B206, Arlington, WA 98223-8465 |
| Street Address |
3710 168TH ST NE STE B206 |
| City | ARLINGTON |
| State | WA |
| Zip Code | 98223-8465 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344412 | Katie A Barber | Massage Therapist | 3710 168th St Ne Ste B206, Arlington, WA 98223-8465 | 2020-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667462 | Clark Nursing LLC | Registered Nurse | 30818 412th Dr. N.e., Arlington, WA 98223 | 2020-04-08 |
| 1952952442 | Tina Willett | Technician | 18404 19th Avenue Ne, Arlington, WA 98223 | 2019-09-25 |
| 1841841764 | Carolyn Marie Lantz | Technician | 6002 Cemetery Road, Arlington, WA 98223 | 2019-09-23 |
| 1801457643 | Maddison Post | Massage Therapist | 18725 Smokey Point Boulevard, Arlington, WA 98223 | 2019-06-24 |
| 1790341113 | Brandon Tyler Stott | Specialist/Technologist | 17023 11th Ave Ne, Arlington, WA 98223 | 2019-05-10 |
| 1881177715 | Hailey R Tanis | Massage Therapist | 3131 Smokey Point Drive #5b, Arlington, WA 98223 | 2018-09-06 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1851839617 | Jamie Claire Chatters-elf | Preventive Medicine | 315 N French Avenue, Arlington, WA 98223 | 2017-02-01 |
| 1790153286 | Glenda Louise Taylor | Massage Therapist | 16404 Smokey Point Blvd #307, 307, Arlington, WA 98223 | 2015-09-14 |
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| Find all providers in zip 98223 | ||||
| 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 |
|---|---|---|---|---|
| 1912506866 | Skye Marcelle | Massage Therapist | 619 Lillard Rd, Arlington, TX 76012-4906 | 2020-10-21 |
| 1154928414 | Latoya Vikal Rideau | Massage Therapist | 3651 Landers Ln, Arlington, TX 76014-3830 | 2020-10-08 |
| 1417564519 | David Carrington | Massage Therapist | 1900 S Eads St Apt 1027, Arlington, VA 22202-3021 | 2020-09-23 |
| 1861008047 | Daniel Weaver | Massage Therapist | 2300 Washington Blvd Apt 102, Arlington, VA 22201-1101 | 2020-09-22 |
| 1982210225 | Tabitha Fay Croy | Massage Therapist | 1525 S George Mason Dr Apt 10, Arlington, VA 22204-3479 | 2020-09-22 |
| 1194330068 | Jorgette Simpson | Massage Therapist | 2311 Streambed Ct Apt 2007, Arlington, TX 76006-6015 | 2020-09-09 |
| 1366056087 | Chacidy Canty | Massage Therapist | 701 Edgestone Pl Apt 366, Arlington, TX 76006-2266 | 2020-09-01 |
| 1164035903 | Rafael Jesus Ayala Torres | Massage Therapist | 2715 Deer Creek Dr Apt 9-107, Arlington, TX 76010-0736 | 2020-08-30 |
| 1063052090 | Michael Balensiefer | Massage Therapist | 320 23rd St S Apt 715, Arlington, VA 22202-3757 | 2020-01-07 |
| 1366080467 | Mobility Spa LLC | Massage Therapist | 2300 N Pershing Dr Ste 201, Arlington, VA 22201-1428 | 2019-12-19 |
| Find all providers in ARLINGTON | ||||
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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.