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Deactivated NPI 1982923629 Deactivated / Inactive NPI Female Practitioner

Amanda Diane Crouch Youngblood , LMP

Massage Therapist • Fairchild Air Force Base, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Amanda Crouch Youngblood has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 20, 2010
NPI Deactivation Date April 11, 2022
Total Practice Duration ~12 Years of Practice (2010 – 2022)

Professional Overview & Biography Verified Profile Summary

Amanda Crouch Youngblood, LMP was a registered Massage Therapist practicing in Fairchild Air Force Base, WA. Throughout an active medical career spanning 12 years, Amanda Crouch Youngblood provided care at the practice location at 7647B WASHINGTON AVE until profile deactivation on 2022-04-11.

Practice Location & Contact Primary Location

Practice Address

7647b Washington Ave

Fairchild Air Force Base, WA 990113022

Telephone 5099945994

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Fairchild Air Force Base, WA

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

Practicing in Fairchild Air Force Base, 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 MA 60146611

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

7 Historical Events
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NPI Profile Deactivated April 11, 2022

Record deactivated on April 11, 2022

NPI Profile Active May 20, 2010

NPI status registered as active in NPPES database

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Updated Practice Location May 20, 2010

Registered at 7647B WASHINGTON AVE, FAIRCHILD AIR FORCE BASE, WA 990113022 (Tel: 5099945994)

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Updated Business Mailing Address May 20, 2010

Registered at 7647B WASHINGTON AVE, FAIRCHILD AIR FORCE BASE, WA 990113022 (Tel: 5099945994)

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Provider Name / Credentials Updated May 20, 2010

Recorded as AMANDA CROUCH YOUNGBLOOD, LMP

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2010

Massage Therapist (License #MA 60146611 in WA)

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Initial NPI Registration & Enumeration May 20, 2010

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: 1982923629
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2010
Last Update: May 20, 2010
Deactivation Date: April 11, 2022

Mailing Address

7647b Washington Ave

Fairchild Air Force Base, WA 990113022

Phone: 5099945994

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.