VIXAI NACKVISETH (NPI# 1033423942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033423942 |
| Entity Type | Individual |
| Full Name | VIXAI NACKVISETH |
| Credential | LMP |
| Practice Address |
17307 Se 272nd St Suite 126 Covington WA 98042-5304 |
| Mailing Address |
23925 225th Way Se Suite B Maple Valley WA 98038-5233 |
| Practice Telephone | 2536392266 |
| Practice Fax Number | 2536398464 |
| Mailing Telephone | 4254330123 |
| Mailing Fax Number | 4254330733 |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2010-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00019004 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
17307 SE 272ND ST SUITE 126 |
| City | COVINGTON |
| State | WA |
| Zip Code | 98042-5304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407921216 | Covington Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 17307 Se 272nd St, 124, Covington, WA 98042-5306 | 2006-11-21 |
| 1407152440 | Gabrielle Guidry | Dietitian, Registered | 17307 Se 272nd St, 126, Covington, WA 98042-5304 | 2011-02-09 |
| 1760796593 | Adam Henson | Physical Therapist | 17307 Se 272nd St, Suite 126, Covington, WA 98042-5304 | 2010-08-04 |
| 1285709097 | James Raymond Ramseth | Pharmacist | 17307 Se 272nd St, 124, Covington, WA 98042-5306 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
| 1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
| 1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
| 1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
| 1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
| Find all providers in zip 98042 | ||||
| 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 |
|---|---|---|---|---|
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1851947956 | Kelsey Fielder | Massage Therapist | 17307 Se 272nd St Ste 142, Covington, WA 98042-5304 | 2019-08-14 |
| 1740841113 | Ayrton T Ibarra | Massage Therapist | 17615 Se 272nd St Ste 104, Covington, WA 98042-4957 | 2019-06-25 |
| 1114496700 | Darlene Michelle Firmin | Massage Therapist | 54 Bleu Lake Dr, Covington, LA 70435-8407 | 2018-11-13 |
| 1083195689 | Ruth Wanjiru Njenga | Massage Therapist | 19641 Se 259th St, Covington, WA 98042-5045 | 2018-08-22 |
| 1164912853 | Premier Therapeutics, LLC | Massage Therapist | 827 W 22nd Ave, Covington, LA 70433-1433 | 2018-05-17 |
| 1689161200 | Kelly Elizabeth Mcgee | Massage Therapist | 522 N New Hampshire St Spc 9, Covington, LA 70433-2843 | 2018-04-19 |
| 1982110755 | April Marie Reynolds | Massage Therapist | 25834 158th Ave Se, Covington, WA 98042-8288 | 2017-12-15 |
| 1053831313 | Candy Colley Welch | Massage Therapist | 503 N Columbia St, Covington, LA 70433-2921 | 2017-06-27 |
| 1730625286 | Kevin Brown | Massage Therapist | 222 N Vermont St Ste J, Covington, LA 70433 | 2017-01-09 |
| Find all providers in COVINGTON | ||||
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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.