ELEMENTS OF WELLNESS AQUATIC AND MANUAL THERAPY INC. (NPI# 1073798476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073798476 |
| Entity Type | Organization |
| Organization Name | ELEMENTS OF WELLNESS AQUATIC AND MANUAL THERAPY INC. |
| Practice Address |
872 Troy Rd Suite 170 Moscow ID 83843-4046 |
| Practice Telephone | 2088928888 |
| Practice Fax Number | 2088828890 |
| Mailing Telephone | 2088928888 |
| Mailing Fax Number | 2088828890 |
| Enumeration Date | 2008-01-03 |
| Last Update Date | 2008-01-03 |
| Authorized Official Name | MS. DAYNA KATHLEEN WILLBANKS (OCCUPATIONAL THERAPIST OWNER) |
| Authorized Official Telephone | 2088928888 |
| Authorized Official Credential | OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | OT-406 | ID | Other Service Providers |
| Street Address |
872 TROY RD SUITE 170 |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689863367 | Kimberly Marie Fletcher | Physical Therapist | 872 Troy Rd, Suite 180, Moscow, ID 83843-4046 | 2007-10-18 |
| 1063772630 | Hilary Eleanor Snell | Physical Therapist | 872 Troy Rd, Suite 180, Moscow, ID 83843-4046 | 2012-05-16 |
| 1386970036 | Nancy Jane Akin | Occupational Therapist | 872 Troy Rd, Moscow, ID 83843-4046 | 2009-10-29 |
| 1346473063 | Rory Micheal Fletcher | Physical Therapist | 872 Troy Rd, Suite 180, Moscow, ID 83843-4046 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| 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 |
|---|---|---|---|---|
| 1700889581 | Radiology Consultants Ps | Specialist | 405 Styner Ave, Moscow, ID 83843-9394 | 2005-05-24 |
| 1609283662 | Megan Ivanoff | Specialist | 208 S Main St, Moscow, PA 18444-9135 | 2014-07-22 |
| 1346689783 | Danielle Marie Watson | Specialist | 619 S Washington St, Ste 202, Moscow, ID 83843-3090 | 2013-06-19 |
| 1386969285 | Palouse Imaging Consultants, Pllc | Specialist | 405 Styner Ave, Moscow, ID 83843-9394 | 2010-04-02 |
| 1891025482 | Annetta Wilson | Specialist | 640 N Eisenhower St, Moscow, ID 83843-9588 | 2010-01-05 |
| 1770818437 | Janie L Jones | Specialist | 640 N Eisenhower St, Moscow, ID 83843-9588 | 2009-10-13 |
| 1346365517 | Opportunities Unlimited, Inc. | Specialist | 119 E 4th St, Moscow, ID 83843-2907 | 2007-03-20 |
| 1205802998 | Christin S Reisenauer | Specialist | 405 Styner Ave, Moscow, ID 83843-9394 | 2006-02-23 |
| 1457333668 | Richard Allen Jacobs | Specialist | 619 S Washington St, Ste 202, Moscow, ID 83843-3090 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528684370 | The Unruly Tongue Myofunctional Therapy LLC | Specialist | 1125 Nw Bluegrass Cir, Mountain Home, ID 83647 | 2020-06-17 |
| 1306462197 | Two Rivers Myofunctional Therapy LLC | Specialist | 635 W Cedar Pointe Way, Nampa, ID 83686-5582 | 2020-06-17 |
| 1851855803 | Lauren Rybarczyk | Specialist | 11498 W Carmichael Dr, Boise, ID 83709-7382 | 2019-01-24 |
| 1376050997 | Kelly Collins | Specialist | 3923 S 10th Ave, Caldwell, ID 83605-6762 | 2018-01-04 |
| 1033621826 | Amanda Lachelle Pereira | Specialist | 3797 N 3550 E, Kimberly, ID 83341-5093 | 2017-11-01 |
| 1720523855 | North Idaho Surgical Assistant Association Pllc | Specialist | 9547 N Finucane Dr, Hayden, ID 83835-9057 | 2016-12-28 |
| 1033653639 | Samuel Tepper | Specialist | 207 Thain Rd, Lewiston, ID 83501-4829 | 2016-12-15 |
| 1851834311 | Tegan Shuman | Specialist | 7307 W San Fernando Dr, Boise, ID 83704-5953 | 2016-11-30 |
| 1134580525 | Amy Berasi | Specialist | 201 Pole Line Rd, Salmon, ID 83467 | 2016-03-11 |
| 1427416155 | Melodie Nicole Clapp | Specialist | 402 Jasper Ave., Notus, ID 83656-0075 | 2016-02-09 |
| Find all providers with the same taxonomy | ||||
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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.