Juan Ramon Medina Jr., LMP
Massage Therapist in Burien, WA. Individual provider (NPI-1).
NPI number1235995671
StatusActive
Last updated in NPPESFeb 23, 2024
Details
- NPI
- 1235995671
- Entity type
- Individual (NPI-1)
- Name
- Mr. Juan Ramon Medina Jr.
- Credential
- LMP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2024
- Certification date
- Feb 23, 2024
- Last updated
- Feb 23, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA00014943 | WA | Yes |
Practice location
2026 Sw 152nd St Ste BBurien, WA 98166-2077
Phone 206-214-0838 · Fax 206-641-3274
Mailing address
2026 Sw 152nd St Ste BBurien, WA 98166-2077
Phone 206-214-0838 · Fax 206-641-3274
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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