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Active NPI 1124378658 Individual Practitioner Female Practitioner

Phounsavanth La Niravanh , LMP

Massage Therapist • Spokane Valley, WA

Professional Overview & Biography Verified Profile Summary

Phounsavanth Niravanh, LMP is a registered healthcare professional specializing in Massage Therapist in Spokane Valley, WA. Practice services are available at 325 S SULLIVAN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

325 S Sullivan Rd
Suite B

Spokane Valley, WA 990376019

Telephone 5099289098
Associated Practice Facility / Clinic
🏢 Papa Tonys Enterprise Facility NPI 1992017834

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Spokane Valley, WA

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

Practicing in Spokane Valley, 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 MA60307876

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.

Practice Associates & Co-Workers

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

30 Associated Practitioners
Jessica Murphy

Massage Therapist

NPI 1063873701
Rachael Leonard

Massage Therapist

NPI 1104059674
Aaron Tinsley , LMP

Massage Therapist

NPI 1124343405

Licensed Massage Practitioner

Melissa Poole , LMP

Massage Therapist

NPI 1134378268

Licensed Massage Practitioner

NPI 1174846810

Licensed Massage Practitioner

Georgia Norg , MA

Massage Therapist

NPI 1205477692

Master of Arts

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 12, 2012

Registered at 325 S SULLIVAN RD, SUITE B, SPOKANE VALLEY, WA 990376019 (Tel: 5099289098)

📍
Updated Business Mailing Address September 12, 2012

Registered at 325 S SULLIVAN RD, SUITE B, SPOKANE VALLEY, WA 990376019 (Tel: 5099289098)

👤
Provider Name / Credentials Updated September 12, 2012

Recorded as PHOUNSAVANTH NIRAVANH, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2012

Massage Therapist (License #MA60307876 in WA)

🟢
Initial NPI Registration & Enumeration September 12, 2012

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: 1124378658
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2012
Last Update: September 12, 2012
Sole Proprietor: No

Mailing Address

325 S Sullivan Rd, Suite B

Spokane Valley, WA 990376019

Phone: 5099289098

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.