=====================================================
General NPI Number Information
=====================================================
NPI Number | 1124983879
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MONARCH THERAPEUTIC MASSAGE PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/16/2025
-----------------------------------------------------
Last Update Date | 12/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 140 S ARTHUR ST STE 425
-----------------------------------------------------
City | SPOKANE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99202-2266
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-705-7942
-----------------------------------------------------
Fax | 206-260-1357
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 140 S ARTHUR ST STE 425
-----------------------------------------------------
City | SPOKANE
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 99202-2266
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 509-705-7942
-----------------------------------------------------
Fax | 206-260-1357
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | JESSICA MARIE BALLON
-----------------------------------------------------
Credential | LMT
-----------------------------------------------------
Telephone | 509-705-7942
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------