1. Home
  2. Directory
  3. Washington
  4. Lynnwood
  5. Massage Therapist
  6. NPI Profile

MIRA AQUA MASSAGE
NPI 1689928954
Massage Therapist in Lynnwood, WA

Active since November 07, 2012
3516 204TH ST SW, APT A201, LYNNWOOD, WA 98036(206) 941-4543 Get Directions Write a Review

NPPES record last updated: November 7, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mira Aqua Massage NPPES

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

MIRA AQUA MASSAGE (NPI 1689928954) is a healthcare organization registered as a massage therapist in Lynnwood, Washington and active in the NPI registry since November 2012. The organization lists Amanda T Mcgee, Owner/massage Therapist, as its authorized official.

NPPES Registry Identity

NPI1689928954
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameMIRA AQUA MASSAGE
Location Address3516 204TH ST SW, APT A201Lynnwood, WA 98036-9327
Mailing Address3516 204th St Sw, Apt A201Lynnwood, WA 98036-9327 · (206) 941-4543
Phone(206) 941-4543
Organization SubpartNo
Authorized OfficialAmanda T McgeeOwner/massage Therapist · (206) 941-4543
Enumeration DateNovember 7, 2012
✔ NPI 1689928954 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 · MA60129874
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.
3516 204TH ST SW, Lynnwood, WA 98036
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mira Aqua Massage's NPI number?

The NPI number for Mira Aqua Massage is 1689928954. It was assigned to this organization in the NPPES registry on November 7, 2012.

Where is Mira Aqua Massage located?

Mira Aqua Massage is located at 3516 204th St SW Apt A201, Lynnwood, WA 98036. The listed phone number is (206) 941-4543.

What is Mira Aqua Massage'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 Mira Aqua Massage was last updated on November 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.