JEBEDIAH I SIDES LMT
NPI 1619738804
Massage Therapist in Vancouver, WA

Active since January 16, 2024
14010 NE 3RD CT BLDG B, VANCOUVER, WA 98685(360) 949-0133(360) 768-5110 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jebediah I Sides Lmt NPPES

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

JEBEDIAH I SIDES LMT (NPI 1619738804) is an individual massage therapist in Vancouver, Washington, licensed in Washington (61512969) and active in the NPI registry since January 2024. He maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1619738804
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJEBEDIAH I SIDESCredential: LMT
Location Address14010 NE 3RD CT BLDG BVancouver, WA 98685-2928
Mailing Address4414 Ne 115th StVancouver, WA 98686-4479 · (360) 949-0133 · Fax (360) 768-5110
Fax(360) 768-5110
Sole ProprietorYes
Enumeration DateJanuary 16, 2024
Last NPPES UpdateDecember 18, 2024
NPPES CertifiedDecember 18, 2024
NPI 1619738804 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 · 61512969
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.
14010 NE 3RD CT BLDG B, Vancouver, WA 98685

Secondary Practice Location 1

Location 111500 NE 119th St Ste 104Vancouver, WA 98662-1643 · Phone (360) 326-3396 · Fax (360) 369-0015

Accepted Insurance

Other Providers at the Same Location NPPES

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

Massage Therapist
14010 NE 3RD CT BLDG B
VANCOUVER, WA 98685

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 Jebediah Sides's NPI number?

The NPI number for Jebediah Sides is 1619738804. It was assigned to this individual provider in the NPPES registry on January 16, 2024.

Where is Jebediah Sides located?

Jebediah Sides practices at 14010 NE 3rd Ct Bldg B, Vancouver, WA 98685. The listed phone number is (360) 949-0133.

What is Jebediah Sides's specialty?

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

What insurance does Jebediah Sides accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente and Regence BlueCross BlueShield of Oregon list Jebediah Sides as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jebediah Sides was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.