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

MAVERICK KANNEGAARD
NPI 1821540733
Massage Therapist in Seattle, WA

Active since October 26, 2016
FREMONT AVE N #412, SEATTLE, WA 98103(206) 853-1540 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 4, 2016, Oct 26, 2016 (2 updates tracked since 2016).

About Maverick Kannegaard NPPES

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

MAVERICK KANNEGAARD (NPI 1821540733) is an individual massage therapist in Seattle, Washington, licensed in Washington (MA 60332657) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1821540733
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMAVERICK KANNEGAARD
Location AddressFREMONT AVE N #412Seattle, WA 98103
Mailing Address411 Ne 94th StSeattle, WA 98115-2730 · (208) 874-7648
Phone(206) 853-1540
Sole ProprietorYes
Enumeration DateOctober 26, 2016
Last NPPES UpdateNovember 4, 20162 updates tracked since enumeration
✔ NPI 1821540733 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 · MA 60332657
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.

FREMONT AVE N #412, Seattle, WA 98103
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Reviews for MAVERICK KANNEGAARD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

What is Maverick Kannegaard's NPI number?

The NPI number assigned to this healthcare provider is 1821540733, enumerated as an "individual" on October 26, 2016.

Where is the provider located?

The provider is located at FREMONT AVE N #412 SEATTLE, WA 98103 and the phone number is (206) 853-1540.

What is the provider's specialty?

Massage Therapist with taxonomy code 225700000X.

What insurance does Maverick Kannegaard accept?

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.