TYRA ANN BERGGREN (NPI# 1023342029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023342029 |
| Entity Type | Individual |
| Full Name | TYRA ANN BERGGREN |
| Credential | LMP |
| Practice Address |
15820 62nd Ave Nw Stanwood WA 98292 |
| Mailing Address |
15820 62nd Ave Nw Stanwood WA 98292-8941 |
| Practice Telephone | 4259313849 |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 60103848 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
15820 62ND AVE NW |
| City | STANWOOD |
| State | WA |
| Zip Code | 98292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265952303 | Sabrina Ashley Barrera | Massage Therapist | 7202 267th St Nw Ste 104b, Stanwood, WA 98292 | 2017-06-20 |
| 1104355155 | Richard Lee Harman | Ophthalmology | 10101 270th St. Nw, #195, Stanwood, WA 98292 | 2017-06-05 |
| 1629472428 | Melisa Donnelly | Speech-Language Pathologist | 9901 272nd Place Nw, Stanwood, WA 98292 | 2014-10-22 |
| 1790194512 | Rachelle Eve Hamaker | Massage Therapist | 9806 270th St. N.w. #c, Stanwood, WA 98292 | 2014-08-06 |
| 1255693909 | Gary Rhett Andelin | Emergency Medicine | 9631 - 269th Street Nw, Stanwood, WA 98292 | 2012-06-08 |
| 1285927160 | Rachael Anne Davis | Massage Therapist | 9009 271 Street Nw, Stanwood, WA 98292 | 2011-05-25 |
| 1295024610 | Linda K Ricks | Massage Therapist | 2522 256th St Nw, Stanwood, WA 98292 | 2011-04-06 |
| 1760789747 | Suzann Lorene Oakes | Physical Therapist | 20420 Marine Dr., Stanwood, WA 98292 | 2011-02-28 |
| 1588965735 | Elizabeth Ann Burr | Counselor | 23306 Marine Dr., Stanwood, WA 98292 | 2010-11-04 |
| 1780984898 | Jennifer Paige Hoorn | Physical Therapy Assistant | 20420 Marine Drive, Stanwood, WA 98292 | 2010-10-25 |
| Find all providers in zip 98292 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013332 | Andrea L Yu | Massage Therapist | 7207 265th St Nw Ste 102, Stanwood, WA 98292-6274 | 2020-11-03 |
| 1881236453 | Rana Engelson | Massage Therapist | 3506 159th Pl Nw, Stanwood, WA 98292-7927 | 2019-10-15 |
| 1518517069 | Jennifer Molnar | Massage Therapist | 7704 275th St Nw, Stanwood, WA 98292-5976 | 2019-09-17 |
| 1376000836 | Joel Rios Vizmanos | Massage Therapist | 27238 Church Creek Loop Nw, Stanwood, WA 98292-7448 | 2019-02-20 |
| 1306313952 | Tammy Mclaughlin | Massage Therapist | 1127 310th St Ne, Stanwood, WA 98292-7199 | 2018-10-31 |
| 1720574783 | Kaia Marie Summerfield | Massage Therapist | 31723 19th Dr Nw, Stanwood, WA 98292-5002 | 2018-07-02 |
| 1265952303 | Sabrina Ashley Barrera | Massage Therapist | 7202 267th St Nw Ste 104b, Stanwood, WA 98292 | 2017-06-20 |
| 1962947069 | Morgan Byers | Massage Therapist | 7104 265th St Nw Ste 115, Stanwood, WA 98292-6169 | 2016-12-28 |
| 1295279255 | Carrie Deitz | Massage Therapist | 7104 265th St Nw Ste 130, Stanwood, WA 98292-6250 | 2016-12-10 |
| 1689020398 | Brandi Sansaver | Massage Therapist | 6324 Happy Hollow Rd, Stanwood, WA 98292-9014 | 2016-05-11 |
| Find all providers in STANWOOD | ||||
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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.