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Deactivated NPI 1104345156 Deactivated / Inactive NPI Male Practitioner

James Alan Davis

Massage Therapist • Puyallup, 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, James Davis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 11, 2017
NPI Deactivation Date April 17, 2025
Total Practice Duration ~8 Years of Practice (2017 – 2025)

Professional Overview & Biography Verified Profile Summary

James Davis was a registered Massage Therapist practicing in Puyallup, WA. Throughout an active medical career spanning 8 years, James Davis provided care at the practice location at 14711 85TH AVE E until profile deactivation on 2025-04-17.

Practice Location & Contact Primary Location

Practice Address

14711 85th Ave E

Puyallup, WA 983752506

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Puyallup, WA

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

Practicing in Puyallup, 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 MA60311880

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 17, 2025

Record deactivated on April 17, 2025

NPI Profile Active September 11, 2017

NPI status registered as active in NPPES database

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Updated Practice Location September 11, 2017

Registered at 14711 85TH AVE E, PUYALLUP, WA 983752506 (Tel: (206) 295-8200)

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Updated Business Mailing Address September 11, 2017

Registered at 14711 85TH AVE E, PUYALLUP, WA 983752506 (Tel: 2062958200)

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Provider Name / Credentials Updated September 11, 2017

Recorded as JAMES DAVIS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2017

Massage Therapist (License #MA60311880 in WA)

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Initial NPI Registration & Enumeration September 11, 2017

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: 1104345156
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2017
Last Update: September 11, 2017
Deactivation Date: April 17, 2025

Mailing Address

14711 85th Ave E

Puyallup, WA 983752506

Phone: 2062958200

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

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