MS. MARINA ALENE MAHONEY


Address: 1900 South Puget Drive, Ste 110, Renton, WA 98055
Phone: 4252771123

MS. MARINA ALENE MAHONEY (NPI# 1124120332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124120332
Entity Type Individual
Full Name MS. MARINA ALENE MAHONEY
Credential LMP
Practice Address 1900 South Puget Drive
Ste 110
Renton
WA 98055
Practice Telephone 4252771123
Practice Fax Number 4252770445
Mailing Telephone 4252771123
Mailing Fax Number 4252770445
Enumeration Date 2006-09-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA00018754 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA LABOR & INDUSTRIES 0177309 01

Office Location

Street Address 1900 SOUTH PUGET DRIVE
STE 110
City RENTON
State WA
Zip Code 98055

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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003429291 Jill Rupp Massage Therapist 2100 Lake Washington Blvd N Apt K101, Renton, WA 98056-1455 2020-08-26
1538702394 Ashi Empire Barefoot Massage Massage Therapist 16720 116th Ave Se Ste 5, Renton, WA 98058-5277 2019-10-24
1528610680 Mark Gerhardt Schambers Massage Therapist 665 Bremerton Ave Ne, Renton, WA 98059-4747 2019-07-09
1982269114 Jeffrey Frank Wasmer Massage Therapist 4808 Ne Sunset Blvd Apt B106, Renton, WA 98059-4283 2019-05-02
1669036554 Ariana Feline Wren Massage Therapist 11314 Se 162nd St, Renton, WA 98055-5230 2019-04-25
1669959318 Kewen Chen Massage Therapist 14024 163rd Pl Se, Renton, WA 98059-3662 2018-07-25
1992295703 Celeste Marie Sage-tate Massage Therapist 15 S Grady Way Ste Ll19, Renton, WA 98057-3230 2018-05-16
1912496456 Lashanda Mccurdy Massage Therapist 401 Olympia Avenue Ne, Renton, WA 98056 2018-05-09
1356855522 Miguel Angel Banos Massage Therapist 3000 Ne 4th St., Renton, WA 98188 2017-11-27
1194237784 Jie Yang Massage Therapist 19313 133rd Pl Se, Renton, WA 98058-7700 2017-11-03
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Competitor

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City RENTON
Zip Code 98055

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Dataset Information

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.

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