IndividualActive
Shonelle Gongob, LMP
NPI 1245588490 · Massage Therapist · Lakewood, WA
Provider details
- NPI number
- 1245588490
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- No
- License
- MA60290683 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7308 Bridgeport Way W
Ste. 103
Lakewood, WA 98499-8000
Phone: (253) 582-8142
Fax: (253) 582-8160
Street-level locationGet directions
Mailing address
4040 Orchard St W
Fircrest, WA 98466-6606
Registry dates
- Enumerated
- 2012-08-20
- Last updated
- 2012-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.