MICHELLE LYN WILSON (NPI# 1033692397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033692397 |
| Entity Type | Individual |
| Full Name | MICHELLE LYN WILSON |
| Credential | LMT |
| Practice Address |
2902 164th St Sw Ste D1 Lynnwood WA 98087-3201 |
| Mailing Address |
12402 Admiralty Way Apt J205 Everett WA 98204-8584 |
| Practice Telephone | 4252795906 |
| Mailing Telephone | 4255832917 |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60811330 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426372 | Michelle Wilson | Dietitian, Registered | 4972 Benchmark Centre Dr Ste 100, Swansea, IL 62226-2070 | 2020-04-25 |
| 1265078166 | Michelle Antoinette Wilson | Nurse Practitioner | 45001 Tanglewood Dr, Hammond, LA 70401-4442 | 2019-11-26 |
| 1639733371 | Michelle Marie Wilson | Occupational Therapist | 540 N State St Apt 2605, Chicago, IL 60654-7236 | 2019-04-29 |
| 1821576257 | Michelle Nicole Barker Wilson | Counselor | 2525 King Louis Dr, Jacksonville, FL 32254-6220 | 2018-07-28 |
| 1679000434 | Michelle Wilson | Physical Therapist | 711 River Rd, Yardley, PA 19067-1965 | 2017-05-11 |
| 1689048043 | Michelle A Wilson | Licensed Practical Nurse | 1289 Warwick St, Uniondale, NY 11553-1324 | 2015-11-23 |
| 1447528286 | Michelle J Wilson | Pharmacist | 1066 Laurel Creek Dr, Chesterton, IN 46304-9607 | 2011-12-07 |
| 1013200633 | Michelle Lynne Wilson | Pharmacist | 138 N 5th St, Steubenville, OH 43952-2128 | 2011-05-16 |
| 1548496557 | Michelle Wilson | Nurse Practitioner | 1901 S. Shady Street, Mountain City, TN 37683 | 2009-06-04 |
| 1598887606 | Michelle Morfin Wilson | Nurse Practitioner | 9500 Euclid Ave # M-14, Cleveland, OH 44195-0001 | 2007-04-06 |
| Street Address |
2902 164TH ST SW STE D1 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98087-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508254343 | Levi Roberson | Massage Therapist | 2902 164th St Sw Ste D1, Lynnwood, WA 98087-3201 | 2015-01-01 |
| 1649877069 | Andrew Peterson | Massage Therapist | 2902 164th St Sw Ste D1, Lynnwood, WA 98087-3201 | 2020-10-08 |
| 1942833579 | Michael Martin | Massage Therapist | 2902 164th St Sw Ste D1, Lynnwood, WA 98087-3201 | 2020-02-21 |
| 1487292595 | Jacob Lund | Massage Therapist | 2902 164th St Sw Ste D1, Lynnwood, WA 98087-3201 | 2019-12-19 |
| 1992340368 | Benjamin Randall Kellar | Massage Therapist | 2902 164th St Sw Ste D1, Lynnwood, WA 98087-3201 | 2019-11-08 |
| 1992351571 | Chelsea E Cauthen | Massage Therapist | 2902 164th St Sw Ste D1, Lynnwood, WA 98087-3201 | 2019-08-10 |
| 1043864259 | Jennifer Lynn Stanley | Massage Therapist | 2902 164th St Sw Ste D1, Lynnwood, WA 98087-3201 | 2019-07-25 |
| 1689238206 | Angelina Jocelyne Cons | Massage Therapist | 2902 164th St Sw Ste D1, Lynnwood, WA 98087-3201 | 2019-04-29 |
| 1154892164 | Shawn Husmann | Massage Therapist | 2902 164th St Sw Ste D1, Lynnwood, WA 98087-3201 | 2018-12-17 |
| 1174017552 | Marina Gesine Roughton | Massage Therapist | 2902 164th St Sw Ste D1, Lynnwood, WA 98087-3201 | 2018-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568022341 | Romina Kim | Behavioral Analyst | 14228 26th Ave W, Unit A, Lynnwood, WA 98087 | 2019-06-14 |
| 1710542048 | Dwight Hendricks | Massage Therapist | 2902 164th Street Sw, Suite D1, Lynnwood, WA 98087 | 2019-05-02 |
| 1134603822 | Pamela C Brown-seely | Counselor | 15914 44th Ave W, M-208, Lynnwood, WA 98087 | 2018-09-19 |
| 1699213678 | Kyra Ripley | Counselor | 13821 Beverly Park Rd, Lynnwood, WA 98087 | 2017-02-09 |
| 1144634411 | Gloria Orias | Contractor | 14421 Ash Way, Lynnwood, WA 98087 | 2014-06-16 |
| 1134548316 | Nguyen & Nguyen Dds, Pllc | Clinic/Center | 15620 Highway 99, Suite 4, Lynnwood, WA 98087 | 2014-04-15 |
| 1659526341 | Hee-jin Yang | Dentist | 1418 164th St Sw Ste 100, Lynnwood, WA 98087 | 2008-11-21 |
| 1972795342 | Linda Marie Bowen | Counselor | 1120 164th St Sw, Lynnwood, WA 98087 | 2007-08-09 |
| 1649475799 | Martha Lake Dental Center | Dentist | 1233 164th St Sw, Ste #h, Lynnwood, WA 98087 | 2007-06-19 |
| 1154532042 | Atlas Chiropractic Clinic, LLC | Chiropractor | 14608 Hwy 99 Suite309, Lynnwood, WA 98087 | 2007-05-24 |
| Find all providers in zip 98087 | ||||
| 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 |
|---|---|---|---|---|
| 1205441441 | Yin May Siu | Massage Therapist | 17812 19th Ave W, Lynnwood, WA 98037 | 2020-09-14 |
| 1770101164 | Younhee Ko | Massage Therapist | 4210 198th St Sw Ste 206, Lynnwood, WA 98036-6737 | 2020-07-11 |
| 1710542048 | Dwight Hendricks | Massage Therapist | 2902 164th Street Sw, Suite D1, Lynnwood, WA 98087 | 2019-05-02 |
| 1598223463 | Kalie R Mcginnis | Massage Therapist | 4725 176th St Sw Apt H8, Lynnwood, WA 98037-4813 | 2019-03-08 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1083191290 | Xiufen Lu | Massage Therapist | 18421 Highway 99 Ste G, Lynnwood, WA 98037-4457 | 2018-07-20 |
| 1306345350 | Jeannie Omara | Massage Therapist | 18927 33rd Ave W Ste B, Lynnwood, WA 98036-4726 | 2018-02-06 |
| 1538684550 | Viktoriya Pattison | Massage Therapist | 15302 40th Ave W Apt 1-201, Lynnwood, WA 98087-8972 | 2017-08-10 |
| 1770006348 | Sarah Anne Longanecker | Massage Therapist | 1132 164th St Sw Ste A, Lynnwood, WA 98087-8167 | 2017-07-25 |
| 1699200642 | Lynnwood Family Chiropractic | Massage Therapist | 16303 Highway 99 Ste 1b, Lynnwood, WA 98087-1453 | 2017-04-27 |
| Find all providers in LYNNWOOD | ||||
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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.