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AT VANCOUVER MASSAGE
NPI 1164926374
Massage Therapist in Vancouver, WA

Active since March 21, 2018
1508 BROADWAY ST, VANCOUVER, WA 98663(360) 635-3477(844) 682-7291 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2023, Mar 21, 2018 (2 updates tracked since 2018).

About At Vancouver Massage NPPES

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

AT VANCOUVER MASSAGE (NPI 1164926374) is a healthcare organization registered as a massage therapist in Vancouver, Washington and active in the NPI registry since March 2018. The organization lists Jean A Koncos, Owner, as its authorized official.

NPPES Registry Identity

NPI1164926374
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameAT VANCOUVER MASSAGE, LLC
Location Address1508 BROADWAY STVancouver, WA 98663-3434
Mailing Address204 E 16th StVancouver, WA 98663-3409 · (360) 635-3477
Phone(360) 635-3477
Fax(844) 682-7291
Organization SubpartNo
Authorized OfficialJean A KoncosOwner · (360) 635-3477
Enumeration DateMarch 21, 2018
Last NPPES UpdateOctober 9, 20232 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1164926374 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 · MA00019183
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.
1508 BROADWAY ST, Vancouver, WA 98663
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Other Names 1

Doing Business AsAt Vancouver Massage

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER ELIZABETH DAVIES LMT
Massage Therapist
1508 BROADWAY ST
VANCOUVER, WA 98663
Clark County (360) 635-3477
TAMARA ORR LMT
Massage Therapist
1508 BROADWAY ST
VANCOUVER, WA 98663
Clark County (360) 635-3477
MRS. BARBARA IRENE MAY LE, LMT, MMT, NMT
Massage Therapist
1508 BROADWAY ST
VANCOUVER, WA 98663
Clark County (360) 635-3477
YAN JIANG LMT
Massage Therapist
1508 BROADWAY ST
VANCOUVER, WA 98663
Clark County (360) 635-3477
FINNEAS OMEN BURGESS LMT
Massage Therapist
1508 BROADWAY ST
VANCOUVER, WA 98663
Clark County (360) 635-3477
MIN ZHANG
Massage Therapist
1508 BROADWAY ST
VANCOUVER, WA 98663
Clark County (360) 635-3477
IVY ATISA NANIGANS LMT
Massage Therapist
1508 BROADWAY ST
VANCOUVER, WA 98663
Clark County (360) 635-3477
EVERETT MERAZ LMT
Massage Therapist
1508 BROADWAY ST
VANCOUVER, WA 98663
Clark County (360) 635-3477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is At Vancouver Massage, LLC's NPI number?

The NPI number for At Vancouver Massage, LLC is 1164926374. It was assigned to this organization in the NPPES registry on March 21, 2018. The provider is doing business as At Vancouver Massage.

Where is At Vancouver Massage, LLC located?

At Vancouver Massage, LLC is located at 1508 Broadway St, Vancouver, WA 98663. The listed phone number is (360) 635-3477.

What is At Vancouver Massage, LLC's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for At Vancouver Massage, LLC was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.