Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588807762 Individual Practitioner Female Practitioner

Cecily Kaninawe Mitchell , LMP

Massage Therapist • Longview, WA

Professional Overview & Biography Verified Profile Summary

Cecily Mitchell, LMP is a registered healthcare professional specializing in Massage Therapist in Longview, WA. Practice services are available at 1815 HUDSON under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1815 Hudson
Ste B

Longview, WA 98632

Telephone 3604233399
Fax 3604236181

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Longview, WA

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

Practicing in Longview, 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 MA00017316

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wa State Dept Of Labor & Industries
0165991 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Ashley Andersen , LMP

Massage Therapist

NPI 1275855777

Licensed Massage Practitioner

NPI 1720229735

Licensed Massage Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 17, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2009

Registered at 1815 HUDSON, STE B, LONGVIEW, WA 98632 (Tel: 3604233399)

📍
Updated Business Mailing Address April 17, 2009

Registered at 1815 HUDSON, STE B, LONGVIEW, WA 98632 (Tel: 3604233399)

👤
Provider Name / Credentials Updated April 17, 2009

Recorded as CECILY MITCHELL, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2009

Massage Therapist (License #MA00017316 in WA)

🟢
Initial NPI Registration & Enumeration April 17, 2009

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: 1588807762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2009
Last Update: April 17, 2009
Sole Proprietor: No

Mailing Address

1815 Hudson, Ste B

Longview, WA 98632

Phone: 3604233399

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.