THOMAS WALLACE (NPI# 1023499217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023499217 |
| Entity Type | Individual |
| Full Name | THOMAS WALLACE |
| Credential | LMP |
| Practice Address |
17205 Vashon Hwy Sw Suite B2 Vashon WA 98070-4674 |
| Mailing Address |
Po Box 299 Vashon WA 98070-0299 |
| Practice Telephone | 2064631850 |
| Practice Fax Number | 2064631852 |
| Mailing Telephone | 2064631850 |
| Mailing Fax Number | 2064631852 |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2015-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00007689 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021696 | Thomas R Wallace | Ophthalmology | 211 Mcauley Ct, Hot Springs, AR 71913-6314 | 2005-05-27 |
| 1316547342 | Thomas E Wallace IIi | Pharmacist | 1571 Forest Ave, Staten Island, NY 10302-2226 | 2020-10-28 |
| 1275945354 | Thomas Wallace Jr. | Counselor | 1646 S Court St, Visalia, CA 93277-4962 | 2014-05-23 |
| 1265787147 | Thomas Danville Wallace | Pharmacy Technician | 215 Dexter L Woods Memorial Blvd, Waynesboro, TN 38485-2416 | 2012-07-17 |
| 1386789147 | Thomas W Wallace | Psychiatry & Neurology | 180 Grand Ave Ste 100, Oakland, CA 94612-3766 | 2007-02-20 |
| 1801942933 | Thomas Clyde Wallace | Psychiatry & Neurology | 10 Congress St, Suite 360, Pasadena, CA 91105-3023 | 2007-01-25 |
| 1679641666 | Thomas M Wallace | Internal Medicine | 1441 Florida Ave, Modesto, CA 95350-4405 | 2006-11-30 |
| 1295807733 | Thomas Witherspoon Wallace | Internal Medicine | 10100 Kanis Rd, Little Rock, AR 72205-6202 | 2006-11-13 |
| 1639251416 | Thomas A Wallace | Social Worker | 254 N Washington St, Falls Church, VA 22046-4517 | 2006-10-20 |
| 1811089006 | Thomas K Wallace | Nurse Anesthetist, Certified Registered | 800 E 28th St, Minneapolis, MN 55407-3723 | 2006-09-28 |
| Street Address |
17205 VASHON HWY SW SUITE B2 |
| City | VASHON |
| State | WA |
| Zip Code | 98070-4674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871677690 | Thomas Basile | Chiropractor | 17205 Vashon Hwy Sw, Vashon, WA 98070 | 2006-10-25 |
| 1093081424 | Springfield Chiropractic Life Center | Chiropractor | 17205 Vashon Hwy Sw, Vashon, WA 98070-4674 | 2012-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932683364 | Helen B Taylor | Counselor | 17223 Vashon Hwy Sw, Vashon, WA 98070 | 2018-09-21 |
| 1356857064 | Meagan Fitzgerald | Counselor | Vashon Youth and Family Services, 20110 Vashon Hwy Sw, Vashon, WA 98070 | 2017-12-18 |
| 1336669621 | Susan Beth James | Social Worker | 17635 100th Ave. Sw, Vashon, WA 98070 | 2017-06-27 |
| 1134659915 | Dianna Jean Ammon | Massage Therapist | 17731 Vashon Highway Sw, Vashon Intuitive Arts, Vashon, WA 98070 | 2017-06-14 |
| 1750836003 | Kim L. Newall | Counselor | 20110 Vashon Hywy Sw, Vashon Island, WA 98070 | 2016-08-16 |
| 1982941217 | Amber D Matusky | Doula | 25202 120th Ave Sw, Vashon, WA 98070 | 2013-01-07 |
| 1003179862 | Lisa Sigrid Coley | Counselor | 20110 Vashon Highway Sw, Vashon, WA 98070 | 2012-06-18 |
| 1154683233 | Holly Marie Roland | Counselor | 9329 Sw Cemetery Rd, Vashon, WA 98070 | 2012-06-13 |
| 1467727859 | Vashon Family Dentistry | Dentist | 19001 Vashon Hwy Sw Ste 100, Vashon, WA 98070 | 2012-03-19 |
| 1033348800 | Elizabeth Torbert White | Social Worker | 19001 Vashon Highway Sw, Vashon, WA 98070 | 2009-07-14 |
| Find all providers in zip 98070 | ||||
| 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 |
|---|---|---|---|---|
| 1679043681 | Hallie E Aldrich | Massage Therapist | 19001 Vashon Hwy Sw Ste 202, Vashon, WA 98070-5214 | 2018-12-03 |
| 1558836106 | Carol Diane Canterbury | Massage Therapist | 10350 Sw Mukai Cir, Vashon, WA 98070-3755 | 2018-10-10 |
| 1649795006 | Shannon Seath Meyer | Massage Therapist | 25814 78th Ave Sw, Vashon, WA 98070-8508 | 2017-08-07 |
| 1134659915 | Dianna Jean Ammon | Massage Therapist | 17731 Vashon Highway Sw, Vashon Intuitive Arts, Vashon, WA 98070 | 2017-06-14 |
| 1700327970 | Brady Schulte | Massage Therapist | 22834 Dockton Rd Sw, Vashon, WA 98070-7110 | 2017-03-20 |
| 1063957017 | Julie Rosenbaum | Massage Therapist | 7625 Sw 257th St, Vashon, WA 98070-8515 | 2016-12-29 |
| 1033520796 | Whitney B Kimball | Massage Therapist | 15502 91st Ave Sw, Vashon, WA 98070-3952 | 2014-05-15 |
| 1144641374 | Levin Pugsley | Massage Therapist | 11025 Sw 238th St, Vashon, WA 98070-7609 | 2013-12-13 |
| 1548508559 | Lynette J Willers | Massage Therapist | 17205 Vashon Hwy Sw # B2, Vashon, WA 98070-4674 | 2013-01-25 |
| 1386953883 | Tai Rae Elgar | Massage Therapist | 28305 99th Ave Sw, Vashon, WA 98070-8657 | 2010-09-30 |
| Find all providers in VASHON | ||||
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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.