ELIJAH MAXWELL LMP
NPI 1275995417
Massage Therapist in Centralia, WA

Q: What is Elijah Maxwell's NPI number?

The NPI number for Elijah Maxwell is 1275995417. It was assigned to this individual provider in the NPPES registry on March 27, 2016.

Q: What is Elijah Maxwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elijah Maxwell was last updated on August 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since March 27, 2016

1639 KRESKY AVE, CENTRALIA, WA 98531(360) 807-4711 Get Directions Write a Review

NPPES record last updated: August 11, 2016. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 11, 2016, Mar 27, 2016 (2 updates tracked since 2016).

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About Elijah Maxwell Lmp NPPES

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

ELIJAH MAXWELL LMP (NPI 1275995417) is an individual massage therapist in Centralia, Washington, licensed in Washington (MA60590359) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1275995417

Entity TypeIndividualMale

Primary Taxonomy225700000X

Provider Legal NameELIJAH MAXWELLCredential: LMP

Location Address1639 KRESKY AVECentralia, WA 98531-8912

Mailing Address3110 Laurel LnCentralia, WA 98531-1522 · (360) 819-9728

Phone(360) 807-4711

Sole ProprietorYes

Enumeration DateMarch 27, 2016

Last NPPES UpdateAugust 11, 20162 updates tracked since enumeration

✔ NPI 1275995417 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 · MA60590359

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.

1639 KRESKY AVE, Centralia, WA 98531

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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 Elijah Maxwell's NPI number?

The NPI number for Elijah Maxwell is 1275995417. It was assigned to this individual provider in the NPPES registry on March 27, 2016.

Where is Elijah Maxwell located?

Elijah Maxwell practices at 1639 Kresky Ave, Centralia, WA 98531. The listed phone number is (360) 807-4711.

What is Elijah Maxwell'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 Elijah Maxwell was last updated on August 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.