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JASMINE PHOENIX L.M.P.
NPI 1265642847
Massage Therapist in Clear Lake, WA

Active since May 23, 2007
12263 NORTH MILL STREET, CLEAR LAKE, WA 98235(360) 856-5354 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jasmine Phoenix L.m.p. NPPES

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

JASMINE PHOENIX L.M.P. (NPI 1265642847) is an individual massage therapist in Clear Lake, Washington, licensed in Washington (MA00000839) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1265642847
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameJASMINE PHOENIXCredential: L.M.P.
Location Address12263 NORTH MILL STREETClear Lake, WA 98235
Mailing Address2051 P.o. Box 257Olympia, WA 98507-0257 · (360) 708-0243
Phone(360) 856-5354
Sole ProprietorYes
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1265642847 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 · MA00000839
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.
12263 NORTH MILL STREET, Clear Lake, WA 98235
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Other Identifiers 1

Other0158184WA · Labor And Industries

Other Providers at the Same Location NPPES

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

MRS. SHONIE DANNETTE SHANES L.M.P.
Massage Therapist
12263 NORTH MILL STREET
CLEARLAKE, WA 98235
Skagit County (360) 856-5354

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 Jasmine Phoenix's NPI number?

The NPI number for Jasmine Phoenix is 1265642847. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Jasmine Phoenix located?

Jasmine Phoenix practices at 12263 North Mill Street, Clear Lake, WA 98235. The listed phone number is (360) 856-5354.

What is Jasmine Phoenix'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 Jasmine Phoenix was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.