JULIE MAVROS (NPI# 1154835809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154835809 |
| Entity Type | Individual |
| Full Name | JULIE MAVROS |
| Credential | LMP |
| Practice Address |
23262 Se 57th St Issaquah WA 98029-8905 |
| Practice Telephone | 4254176072 |
| Mailing Telephone | 4254176072 |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00016137 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
23262 SE 57TH ST |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029-8905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| Find all providers in zip 98029 | ||||
| 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 |
|---|---|---|---|---|
| 1164038519 | Kylie Van Cleve | Massage Therapist | 1320 Nw Mall St Ste A2, Issaquah, WA 98027-8964 | 2020-09-21 |
| 1285244640 | Songting Chi | Massage Therapist | 2009 Nw Steelrake Pl Unit P308, Issaquah, WA 98027-7563 | 2020-07-31 |
| 1265085500 | Emma Ritter | Massage Therapist | 680 Nw Gilman Blvd Ste A1, Issaquah, WA 98027-2446 | 2019-07-16 |
| 1659885119 | Amanda Marie Carter | Massage Therapist | 26248 Se 162nd Pl, Issaquah, WA 98027-9802 | 2017-11-20 |
| 1609394360 | Simon B Tapia | Massage Therapist | 600 Front St S Apt G204, Issaquah, WA 98027-4244 | 2017-09-01 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1124550751 | Shanna Chaffee | Massage Therapist | 175 1st Pl Nw Ste C, Issaquah, WA 98027-2746 | 2017-04-02 |
| 1174063564 | Kerry S Brown | Massage Therapist | 680 Nw Gilman Blvd Ste A, Issaquah, WA 98027-2454 | 2017-03-03 |
| 1184073660 | Kathleen Jaramillo | Massage Therapist | 201 Mountain Park Blvd Sw, Apt. E106, Issaquah, WA 98027-3667 | 2016-06-06 |
| 1497113732 | Maryn Amara Spangler | Massage Therapist | 1151 Nw Sammamish Rd Ste 101, Issaquah, WA 98027-8937 | 2016-02-01 |
| Find all providers in ISSAQUAH | ||||
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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.