MR. TRAVIS DAVID BURT (NPI# 1003186693) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003186693 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS DAVID BURT |
| Credential | LMP |
| Practice Address |
1838 Porter St Enumclaw WA 98022 |
| Practice Telephone | 2069793160 |
| Mailing Telephone | 2069793160 |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA60259571 | WA | Other Service Providers |
| Street Address |
1838 PORTER ST |
| City | ENUMCLAW |
| State | WA |
| Zip Code | 98022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993725 | Megan's Massage and Esthetics LLC | Massage Therapist | 709 Griffin Ave, Enumclaw, WA 98022 | 2020-02-06 |
| 1154883494 | Nicola Given | Registered Nurse | 1818 Cole Street, Enumclaw, WA 98022 | 2019-04-04 |
| 1770099988 | Christopher P Koontz, Dds, Ps | Dentist | 2617 Griffin Ave, Enumclaw, WA 98022 | 2017-12-26 |
| 1487050977 | Hunter Chlebowski | Massage Therapist | 1453 Chinook Ave., Enumclaw, WA 98022 | 2014-11-10 |
| 1194156257 | James Kraft Symonds | Family Medicine | 1605 Washington Ave, Enumclaw, WA 98022 | 2013-11-27 |
| 1508209420 | Terri Lynn Kilbourne | Specialist | 1710 Railroad Street, Enumclaw Day Spa, Enumclaw, WA 98022 | 2013-04-10 |
| 1679824783 | Cortney Lauren Adams | Massage Therapist | 1156 Griffin Ave, Suite 209, Enumclaw, WA 98022 | 2012-09-28 |
| 1477828226 | Chella Bear Plastiras | Speech-Language Pathologist | 275 Peterson Drive East, Enumclaw, WA 98022 | 2012-03-13 |
| 1740590884 | Justin Andrew Bergstrom | Chiropractor | 2627 Griffin Ave., Enumclaw, WA 98022 | 2010-10-07 |
| 1497083356 | Liliana Maria Avanto | Massage Therapist | 853 Watson St., Suite 100, Enumclaw, WA 98022 | 2009-12-03 |
| Find all providers in zip 98022 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639567324 | Jamie D Purple | Specialist | 1218 Griffin Ave, Enumclaw, WA 98022-3012 | 2015-01-02 |
| 1073941043 | Jennifer Mitchell | Specialist | 37712 244th Ave Se, Enumclaw, WA 98022-8864 | 2013-10-29 |
| 1508209420 | Terri Lynn Kilbourne | Specialist | 1710 Railroad Street, Enumclaw Day Spa, Enumclaw, WA 98022 | 2013-04-10 |
| 1992014294 | Terri Anne Ward | Specialist | 1108 Loraine St, Enumclaw, WA 98022-2134 | 2010-10-04 |
| 1376784900 | Vada Nadyne Dillon | Specialist | 1737 Wells St., Enumclaw, WA 98022-3518 | 2009-03-11 |
| 1023286416 | Stacey Hancock | Specialist | 1534 Railroad St, Enumclaw, WA 98022-3005 | 2008-02-19 |
| 1073716429 | Jeannine Elizabeth Monuteaux | Specialist | 1525 Cole St Ste 3, Enumclaw, WA 98022-3020 | 2007-06-05 |
| 1992901151 | Puget Sound Specialty Physicians, Pllc | Specialist | 2820 Griffin Ave, Suite 100, Enumclaw, WA 98022-2373 | 2007-06-25 |
| 1831217355 | Katrina J Orriss | Specialist | 1818 Cole St, Enumclaw, WA 98022 | 2007-03-26 |
| 1568513703 | Stephen G Atkinson | Specialist | 1427 Jefferson Ave, Suite 203, Enumclaw, WA 98022-3649 | 2007-01-15 |
| Find all providers in ENUMCLAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.