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Active NPI 1508730433 Individual Practitioner Female Practitioner

Dawn Elizabeth Slack , LMT

Massage Therapist • Monroe, WA

Professional Overview & Biography Verified Profile Summary

Dawn Slack, LMT is a registered healthcare professional specializing in Massage Therapist in Monroe, WA. Practice services are available at 202 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

202 W Main St

Monroe, WA 982721819

Telephone 4257807070
Associated Practice Facility / Clinic
🏢 Theta Enterprises Llc Facility NPI 1174407720

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Monroe, WA

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

Practicing in Monroe, 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

CMS Verified: 2025-10-02
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA61229933

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.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License MA MT3893

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.

Secondary Practice Locations

15610 Ne Woodinville Duvall Rd Ste 108

Woodinville, WA 980727069

Phone: 4253682003

Practice Associates & Co-Workers

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

3 Associated Practitioners
Monterae Stapleton , LMT

Massage Therapist

NPI 1225760721

Licensed Massage Therapist

Trina Edelbrock , LMT

Massage Therapist

NPI 1689407892

Licensed Massage Therapist

Sydney Andrews

Massage Therapist

NPI 1932800505

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 02, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2025

Registered at 202 W MAIN ST, MONROE, WA 982721819 (Tel: 4257807070)

📍
Updated Business Mailing Address October 02, 2025

Registered at 22225 E LOST LAKE RD, SNOHOMISH, WA 982966820 (Tel: 6176661265)

👤
Provider Name / Credentials Updated October 02, 2025

Recorded as DAWN SLACK, LMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2025

Massage Therapist (License #MT3893 in MA)

🟢
Initial NPI Registration & Enumeration October 02, 2025

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: 1508730433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2025
Last Update: October 24, 2025
Sole Proprietor: Yes

Mailing Address

22225 E Lost Lake Rd

Snohomish, WA 982966820

Phone: 6176661265

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.