ANGELA M.PADDOCK L.M.P.
NPI 1154866572
Specialist in Sequim, WA

Active since December 20, 2016
720 E WASHINGTON ST STE 108, SEQUIM, WA 98382(360) 683-3490 Get Directions Write a Review

NPPES record last updated: December 20, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About ANGELA M.PADDOCK L.M.P.

This page provides the complete NPI Profile along with additional information for Angela M.paddock L.m.p., a provider established in Sequim, Washington operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1154866572 assigned on December 2016. The practitioner's primary taxonomy code is 174400000X with license number MA00005051 (WA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Angela M Paddock L.m.p. (Massage Practitioner)

NPI
1154866572 Verify this NPI
Provider Name
ANGELA M.PADDOCK L.M.P.
Entity Type
Organization
Location Address
720 E WASHINGTON ST STE 108 SEQUIM, WA 98382
Location Phone
(360) 683-3490
Mailing Address
720 E WASHINGTON ST STE 108 SEQUIM, WA 98382
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2016
Last Update Date
12-20-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
MA00005051
License State
WA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANGELA M PADDOCK L.M.P.

Authorized Official Title
MASSAGE PRACTITIONER
Authorized Official Phone
(360) 683-3490

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154866572, enumerated as an "organization" on December 20, 2016.

The provider is located at 720 E WASHINGTON ST STE 108 SEQUIM, WA 98382 and the phone number is (360) 683-3490.

Specialist with taxonomy code 174400000X.