VITALITY MASSAGE (NPI# 1740766328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740766328 |
| Entity Type | Organization |
| Organization Name | VITALITY MASSAGE |
| Practice Address |
307 E. Robert Bush Drive Suite #4 South Bend WA 98586-9858 |
| Mailing Address |
Po Box 246 South Bend WA 98586-0246 |
| Practice Telephone | 3609427956 |
| Mailing Telephone | 3609427956 |
| Mailing Fax Number | 3609345357 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Authorized Official Name | AMY D TRIPLETT (THERAPIST) |
| Authorized Official Telephone | 3609427956 |
| Authorized Official Credential | LMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00025266 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | PROVIDER | 1497928055 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | VITALITY MASSAGE & BODYWORK, LLC | 2603 Northridge Pkwy, Ste 101, Ames, IA 50010 |
| Oregon Corporations, Companies and Business Names | VITALITY MASSAGE LLC | 11238 Se 21st Ave, Milwaukie, OR 97222 |
| Ohio Business Entities | VITALITY MASSAGE THERAPY LLP | 1749 18th Street, Cuyahoga Falls, OH 44223 |
| Washington State Corporations | VITALITY MASSAGE, PLLC | 223 Duryea St, Raymond, WA 98577-1718 |
| Street Address |
307 E. ROBERT BUSH DRIVE SUITE #4 |
| City | SOUTH BEND |
| State | WA |
| Zip Code | 98586-9858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558843243 | Rachel Anne Adamyk | Physical Therapy Assistant | 1010 Robert Bush Drive West, South Bend, WA 98586 | 2018-08-30 |
| 1437651106 | Lori Craig Ashley | Registered Nurse | 1216 W Robert Bush Drive, South Bend, WA 98586 | 2018-03-08 |
| 1265823694 | Rehabvisions Therapy Wa, LLC | Clinic/Center | 1010 W Robert Bush Drive, South Bend, WA 98586 | 2015-02-06 |
| 1902133648 | Martha Denise May | Counselor | 1006 West Robert Bush Drive, South Bend, WA 98586 | 2009-11-16 |
| 1063652493 | Diane Lee Geiger | Massage Therapist | 1010 W Robert Bush Dr, Box 211, South Bend, WA 98586 | 2009-02-25 |
| 1861654824 | Washington Physical Therapy | Clinic/Center | 1010 West Robert Bush Drive, South Bend, WA 98586 | 2008-06-30 |
| 1508081217 | County of Pacific | Public Health or Welfare | 1216 West Robert Bush Drive, South Bend, WA 98586 | 2007-04-16 |
| 1255481826 | Ernest Dale Geiger | Physical Therapist | 1010 Robert Bush Drive, South Bend, WA 98586 | 2007-01-12 |
| 1417036997 | Willapa Harbor Pharmacies Inc | Pharmacy | 101 Willapa Ave, South Bend, WA 98586 | 2006-11-03 |
| 1235163908 | Michael James Reeves | Nurse Anesthetist, Certified Registered | 800 Alder Street, South Bend, WA 98586 | 2006-07-10 |
| Find all providers in zip 98586 | ||||
| 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 |
|---|---|---|---|---|
| 1548773914 | Therapeutic Indulgence | Massage Therapist | 903 E Jefferson Blvd, South Bend, IN 46617-3103 | 2017-11-08 |
| 1366868895 | Rachael Elizabeth Thompson | Massage Therapist | 454 S Gladstone Ave, South Bend, IN 46619-2607 | 2014-03-07 |
| 1063652493 | Diane Lee Geiger | Massage Therapist | 1010 W Robert Bush Dr, Box 211, South Bend, WA 98586 | 2009-02-25 |
| 1750428777 | Gloria Jean Barany | Massage Therapist | 52303 Emmons Rd Ste 25, South Bend, IN 46637-4288 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346177 | Franco Garibaldi | Massage Therapist | 8120 378th Ave Se, Snoqualmie, WA 98065-9338 | 2020-11-06 |
| 1073114815 | Michael Paul Frietze | Massage Therapist | 519 Sw Cascade Ave, Chehalis, WA 98532-3213 | 2020-11-06 |
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1912508094 | Catelyn Renee Wesley | Massage Therapist | 211 Marty Loop, Woodland, WA 98674-7223 | 2020-11-04 |
| 1154922250 | Wanju S Kellams | Massage Therapist | 677 Woodland Square Loop Se # A-8, Lacey, WA 98503-1000 | 2020-11-04 |
| 1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
| 1063013332 | Andrea L Yu | Massage Therapist | 7207 265th St Nw Ste 102, Stanwood, WA 98292-6274 | 2020-11-03 |
| 1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
| 1255931994 | Lotus Lounge Corporation | Massage Therapist | 200 Auburn Ave Ste 3, Auburn, WA 98002-5015 | 2020-10-30 |
| 1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BEND |
| Zip Code | 98586 |
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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.