IndividualActive
Jeffery Wang, LMT
NPI 1417525924 · Massage Therapist · Lacey, WA
Provider details
- NPI number
- 1417525924
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA61158410 (WA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
4525 3rd Ave Se Ste 200
Lacey, WA 98503-1010
Phone: (503) 360-8989
Street-level locationGet directions
Mailing address
1708 10th Ave Se
Olympia, WA 98501-1817
Additional practice locations (1)
- 5600 Pacific Ave SeLacey, WA 98503-1258Phone: (503) 360-8989
Registry dates
- Enumerated
- 2021-06-12
- Last updated
- 2021-07-15
- Certified
- 2021-07-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.