MONTESANO SPA WORKS AND MASSAGE, LLC
NPI 1609082767
Specialist in Montesano, WA

Active since May 15, 2007
120 S MAIN ST, MONTESANO, WA 98563(360) 249-2097(360) 249-2591 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Specialist

About MONTESANO SPA WORKS AND MASSAGE, LLC

This page provides the complete NPI Profile along with additional information for Montesano Spa Works And Massage, Llc, a provider established in Montesano, Washington operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1609082767 assigned on May 2007. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 6 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 Cynthia Kaye Johnson Lmp (Co-owner)

NPI
1609082767 Verify this NPI
Provider Name
MONTESANO SPA WORKS AND MASSAGE, LLC
Entity Type
Organization
Location Address
120 S MAIN ST MONTESANO, WA 98563
Location Phone
(360) 249-2097
Location Fax
(360) 249-2591
Mailing Address
PO BOX 828 MONTESANO, WA 98563
Mailing Phone
(360) 249-2097
Mailing Fax
(360) 249-2591
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2007
Last Update Date
08-22-2020
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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 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

CYNTHIA KAYE JOHNSON LMP

Authorized Official Title
CO-OWNER
Authorized Official Phone
(360) 249-2097

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Massage Therapist
120 S MAIN ST
MONTESANO, WA 98563

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609082767, enumerated as an "organization" on May 15, 2007.

The provider is located at 120 S MAIN ST MONTESANO, WA 98563 and the phone number is (360) 249-2097.

Specialist with taxonomy code 174400000X.