Provider Demographics
NPI:1518046952
Name:MRMASSAGE,INC.
Entity Type:Organization
Organization Name:MRMASSAGE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:CATE
Authorized Official - Suffix:
Authorized Official - Credentials:LMP
Authorized Official - Phone:253-839-6058
Mailing Address - Street 1:643 S 305TH ST
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-4021
Mailing Address - Country:US
Mailing Address - Phone:253-839-6058
Mailing Address - Fax:180-066-0800
Practice Address - Street 1:400 S 43RD ST
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5714
Practice Address - Country:US
Practice Address - Phone:425-656-4006
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00011107174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA123113OtherWA L&I
WACA9580OtherREGENCE BLUSHIELD
WAMA00011107OtherWA LIC.