MR. BRIAN DAVID WORDEN (NPI# 1124367628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124367628 |
Entity Type | Individual |
Full Name | MR. BRIAN DAVID WORDEN |
Credential | LMP |
Practice Address |
2401 Bristol Ct Sw Suite A - 102 Olympia WA 98502-6003 |
Mailing Address |
17144 Weaver Ln Sw Rochester WA 98579-9685 |
Practice Telephone | 3603500539 |
Practice Fax Number | 3605397336 |
Mailing Telephone | 2064231592 |
Mailing Fax Number | 3605397336 |
Enumeration Date | 2013-02-05 |
Last Update Date | 2013-02-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA 60320485 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376601245 | Brian Francis Worden | Otolaryngology | 801 Welch Rd, Palo Alto, CA 94304-1611 | 2006-12-04 |
Street Address |
2401 BRISTOL CT SW SUITE A - 102 |
City | OLYMPIA |
State | WA |
Zip Code | 98502-6003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568659910 | Eric Lloyd Renk | Physician Assistant | 2401 Bristol Ct Sw, A104, Olympia, WA 98502-6003 | 2007-10-01 |
1386260115 | Lorrie Ann Hoffman | Technician | 2401 Bristol Ct Sw, Olympia, WA 98502-6003 | 2020-06-17 |
1801443817 | Laquanda P Sanders | Licensed Practical Nurse | 2401 Bristol Ct Sw, Olympia, WA 98502-6003 | 2019-08-23 |
1083059133 | Gregory D Hinkle | Mechanotherapist | 2401 Bristol Ct Sw, Olympia, WA 98502-6003 | 2013-05-02 |
1841533304 | David Jonathon Ray | Massage Therapist | 2401 Bristol Ct Sw, Suite 102 A, Olympia, WA 98502-6003 | 2013-04-03 |
1548570047 | Matthew Walter Martinez | Chiropractor | 2401 Bristol Ct Sw, Suite A-102, Olympia, WA 98502-6003 | 2010-10-18 |
1033345715 | Wayne Johnson | Specialist | 2401 Bristol Ct Sw, Suite A-103, Olympia, WA 98502-6003 | 2009-06-08 |
1588802243 | Shari Aldrich | Specialist | 2401 Bristol Ct Sw, Suite A-103, Olympia, WA 98502-6003 | 2009-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
Find all providers in zip 98502 |
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 |
---|---|---|---|---|
1801407002 | Jutta Fonseca | Massage Therapist | 8604 Pacific Ave Se, Olympia, WA 98513-2008 | 2020-08-11 |
1497381255 | Liliana Montoya | Massage Therapist | 9944 62nd Ave Se Apt B, Olympia, WA 98513-9253 | 2020-03-12 |
1093356024 | Brooke E Riley | Massage Therapist | 309 4th Ave E, Olympia, WA 98501-1106 | 2019-10-01 |
1053965277 | Shannon Janelle Edwards | Massage Therapist | 1954 Division St Nw Unit B, Olympia, WA 98502-4239 | 2019-07-25 |
1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
1679048326 | Rosann V Slagel | Massage Therapist | 2938 Limited Ln Nw # 101, Olympia, WA 98502-6500 | 2018-10-09 |
1053896779 | Jessica M Divens | Massage Therapist | 4324 Martin Way E, Olympia, WA 98516-5367 | 2018-09-27 |
1831671601 | Dawn Michelle Greer | Massage Therapist | 2627 Capital Mall Dr Sw # B3a, Olympia, WA 98502-8696 | 2018-08-29 |
1497236582 | Seth Glover | Massage Therapist | 9830 Lookout Dr Nw, Olympia, WA 98502-9758 | 2018-08-27 |
1053897223 | Margaret Merica Stover | Massage Therapist | 1824 Black Lake Blvd Sw, Olympia, WA 98512-5714 | 2018-07-11 |
Find all providers in OLYMPIA |
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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.