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Active NPI 1275995417 Individual Practitioner Male Practitioner

Elijah Maxwell , LMP

Massage Therapist • Centralia, WA

Professional Overview & Biography Verified Profile Summary

Elijah Maxwell, LMP is a registered healthcare professional specializing in Massage Therapist in Centralia, WA. Practice services are available at 1639 KRESKY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1639 Kresky Ave

Centralia, WA 985318912

Telephone 3608074711

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Centralia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.3 Yrs
Regional Practice Density
50 Specialists

Practicing in Centralia, WA (13385 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA60590359

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 11, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2016

Registered at 1639 KRESKY AVE, CENTRALIA, WA 985318912 (Tel: 3608074711)

📍
Updated Business Mailing Address August 11, 2016

Registered at 3110 LAUREL LN, CENTRALIA, WA 985311522 (Tel: 3608199728)

👤
Provider Name / Credentials Updated August 11, 2016

Recorded as ELIJAH MAXWELL, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2016

Massage Therapist (License #MA60590359 in WA)

🟢
Initial NPI Registration & Enumeration March 27, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275995417
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2016
Last Update: August 11, 2016
Sole Proprietor: Yes

Mailing Address

3110 Laurel Ln

Centralia, WA 985311522

Phone: 3608199728

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.