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MCKENZI ROULETTE
NPI 1659918472
Massage Therapist in Vancouver, WA

Active since December 01, 2019
4000 NE 109TH AVE UNIT 68, VANCOUVER, WA 98682(801) 309-4601 Get Directions Write a Review

NPPES record last updated: December 1, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mckenzi Roulette NPPES

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

MCKENZI ROULETTE (NPI 1659918472) is an individual massage therapist in Vancouver, Washington, licensed in Utah (8056019-4701) and active in the NPI registry since December 2019.

NPPES Registry Identity

NPI1659918472
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMCKENZI ROULETTE
Location Address4000 NE 109TH AVE UNIT 68Vancouver, WA 98682-5718
Mailing Address4000 Ne 109th Ave Unit 68Vancouver, WA 98682-5718 · (801) 309-4601
Phone(801) 309-4601
Sole ProprietorNo
Enumeration DateDecember 1, 2019
✔ NPI 1659918472 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 UT · 8056019-4701
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.
4000 NE 109TH AVE UNIT 68, Vancouver, WA 98682
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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 Mckenzi Roulette's NPI number?

The NPI number for Mckenzi Roulette is 1659918472. It was assigned to this individual provider in the NPPES registry on December 1, 2019.

Where is Mckenzi Roulette located?

Mckenzi Roulette practices at 4000 NE 109th Ave Unit 68, Vancouver, WA 98682. The listed phone number is (801) 309-4601.

What is Mckenzi Roulette'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 Mckenzi Roulette was last updated on December 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.