Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679358584 Individual Practitioner Male Practitioner

Nathan Simon , MASSAGE THERAPIST

Massage Therapist • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Nathan Simon, MASSAGE THERAPIST is a registered healthcare professional specializing in Massage Therapist in Vancouver, WA. Practice services are available at 4001 NE 130TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4001 Ne 130th St

Vancouver, WA 986862670

Telephone 3609015890
Associated Practice Facility / Clinic
🏢 Lumina Chiropractic Facility NPI 1649153263

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Vancouver, WA

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

Practicing in Vancouver, 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: 2023-08-29
Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License WA MA61102640

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

1 Associated Practitioners
Lacy Dillon , LMT

Chiropractor

NPI 1740836394

Licensed Massage Therapist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 29, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2023

Registered at 4001 NE 130TH ST, VANCOUVER, WA 986862670 (Tel: 3609015890)

📍
Updated Business Mailing Address August 29, 2023

Registered at 4001 NE 130TH ST, VANCOUVER, WA 986862670 (Tel: 3609015890)

👤
Provider Name / Credentials Updated August 29, 2023

Recorded as NATHAN SIMON, MASSAGE THERAPIST

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2023

Massage Therapist (License #MA61102640 in WA)

🟢
Initial NPI Registration & Enumeration August 29, 2023

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: 1679358584
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2023
Last Update: August 29, 2023
Sole Proprietor: Yes

Mailing Address

4001 Ne 130th St

Vancouver, WA 986862670

Phone: 3609015890

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.