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Metamorphic Massage & Wellness Inc

NPI 1114390762ActiveOrganization· Preferred Provider Organization· Tumwater, WA

Preferred Provider Organization in Tumwater, Washington, registered in NPPES in November 2015. The authorized official on file is Michelle Lynn Herron, LMP, MMP, Owner/Lead Massage Therapist.

Overview

NPI1114390762
StatusActive
Entity typeOrganization
NPI issuedNov 4, 2015
Last updated in NPPESNov 4, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000XMA00022554WA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years