JOAN SUMMERS LMP
NPI 1043663073
Massage Therapist in Shelton, WA

Active since July 14, 2016
1321 DEARBORN AVE, SHELTON, WA 98584(360) 490-3715 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 24, 2019, Jul 14, 2016 (2 updates tracked since 2016).

About Joan Summers Lmp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOAN SUMMERS LMP (NPI 1043663073) is an individual massage therapist in Shelton, Washington, licensed in Washington (MA60629373) and active in the NPI registry since July 2016. She maintains a secondary practice location in Tumwater.Information from the official NPPES registry record.

NPPES Registry Identity

NPI1043663073
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJOAN SUMMERSCredential: LMP
Location Address1321 DEARBORN AVEShelton, WA 98584-1111
Mailing Address1321 Dearborn AveShelton, WA 98584-1111 · (360) 490-3715
Sole ProprietorYes
Enumeration DateJuly 14, 2016
Last NPPES UpdateApril 24, 20192 updates tracked since enumeration
NPI 1043663073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in WA · MA60629373
Definition

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.

1321 DEARBORN AVE, Shelton, WA 98584

Secondary Practice Location 1

Location 12256 Mottman Rd SW Ste CTumwater, WA 98512-4200 · Phone (360) 357-5222 · Fax (360) 786-9494

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043663073, enumerated as an "individual" on July 14, 2016.

The provider is located at 1321 DEARBORN AVE SHELTON, WA 98584 and the phone number is (360) 490-3715.

Massage Therapist with taxonomy code 225700000X.