Shonda Maxey, LMP
Massage Therapist in Mill Creek, WA. Individual provider (NPI-1).
NPI number1457750705
StatusActive
Last updated in NPPESAug 21, 2014
Details
- NPI
- 1457750705
- Entity type
- Individual (NPI-1)
- Name
- Shonda Maxey
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 21, 2014
- Last updated
- Aug 21, 2014
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 | MA00022321 | WA | Yes |
Practice location
15418 Main StSte 106
Mill Creek, WA 98012-9030
Phone 425-742-6034 · Fax 425-742-6035
Mailing address
15418 Main StSte 106
Mill Creek, WA 98012-9030
Phone 425-742-6034 · Fax 425-742-6035
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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All 66 Massage Therapist providers in Mill Creek · All 722 providers in Mill Creek
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