STEPHANIE RENEE HJORTEDAL


Address: 8750 Tallon Lane Ne., Lacey, WA 98516
Phone: 3604561072

STEPHANIE RENEE HJORTEDAL (NPI# 1184048688) 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) 1184048688
Entity Type Individual
Full Name STEPHANIE RENEE HJORTEDAL
Practice Address 8750 Tallon Lane Ne.
Lacey
WA 98516
Mailing Address 8750 Tallon Lane Ne.
Hawks Prairie Physical Therapy
Lacey
WA 98516
Practice Telephone 3604561072
Mailing Telephone 3604561072
Mailing Fax Number 3604599954
Enumeration Date 2014-02-05
Last Update Date 2014-02-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
A160341061 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 8750 TALLON LANE NE.
City LACEY
State WA
Zip Code 98516

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730744210 Michael Oropeza Behavioral Analyst 8282 28th Court Northeast, Suite A, Lacey, WA 98516 2019-05-09
1902361330 Amanda Jessica Mae Allen Behavioral Analyst Basics Nw LLC, 8282 28th Ct Ne Suite A, Lacey, WA 98516 2019-02-11
1619459393 Kayla-renee Williams Behavioral Analyst Basics Nw LLC 8282 28th Ct Ne, Suite A, Lacey, WA 98516 2018-08-30
1174004303 Julie Ann Lisowski Massage Therapist 3532 Cuddy Ln Ne, Lacey, WA 98516 2018-08-26
1740700145 Joseph Brandon Kimmel Denturist 5032 Beverly Dr Ne, Olympia, WA 98516 2017-06-27
1649649880 Katie Cole Behavioral Analyst 8282 28th Ct Ne, Suite A, Basics Nw, LLC, Lacey, WA 98516 2015-09-17
1306234166 Reza Tahernia Dentist 8050 Freedon Lane Ne, Suite C, Lacey, WA 98516 2015-01-02
1770997603 Qualified Surgical Services Pllc Surgery 3697 Cameron Dr Ne, Lacey, WA 98516 2014-06-18
1295169811 Teasha Corrado Behavioral Analyst 8282 28th Court Ne, Suite A, Lacey, WA 98516 2013-08-30
1922447572 Nell Elizabeth Hathaway Behavior Technician 9333 Martin Way East, Suite 214, Lacey, WA 98516 2013-06-17
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023638889 Rebekah Mattes Specialist/Technologist 6436 Juliann Ct Se, Lacey, WA 98513-6525 2020-04-22
1467986125 Rachel Montgomery Specialist/Technologist 3524 Radcliff Ct Se, Lacey, WA 98503-6238 2017-04-19
1477673978 William V Slosson Specialist/Technologist 350 River Ridge Dr Se, Lacey, WA 98513-6830 2007-03-29
1598806788 Alice Renee Loebsack Specialist/Technologist 5000 Abbey Way Se, Lacey, WA 98503 2007-02-09
1144250408 Dana K Roberts Specialist/Technologist 5300 Pacific Ave Se, Lacey, WA 98503-7500 2006-07-03
1447772900 Kayla Marie Clauson Specialist/Technologist 4740 Avery Ln Se, Lacey, WA 98503-5603 2017-07-16
1134598949 Ramzy Assaf Specialist/Technologist 5000 Abbey Way Se, Lacey, WA 98503-3200 2015-09-22
1457622391 Rachel Lynne Sherburne Specialist/Technologist 5300 Pacific Ave Se, Lacey, WA 98503-7500 2012-01-24
1255592754 Nicole Danielle Jackson Specialist/Technologist 5300 Pacific Ave Se, Lacey, WA 98503-7500 2008-06-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851990329 Tina Daniels Specialist/Technologist 5104 W Nob Hill Blvd Apt 8, Yakima, WA 98908-5814 2020-10-25
1902405079 Sara Danielle Holey Specialist/Technologist 24048 Se 111th St, Issaquah, WA 98027-8320 2020-10-20
1265049902 Erin L Rose Specialist/Technologist 510 Nw Larry St, Pullman, WA 99163-3584 2020-09-27
1790392629 William Bratton Specialist/Technologist 26222 119th Dr Se, Kent, WA 98030-7882 2020-09-24
1790392611 Carli Grace Robins Specialist/Technologist 3654 Nw Cascade Ave, East Wenatchee, WA 98802-9570 2020-09-24
1164039079 Jalyn Rutledge Specialist/Technologist Bohler Athletic Complex Cougar Way - Wsu, Pullman, WA 99164-0001 2020-09-24
1356957054 Alex Vincent Pham Specialist/Technologist 3523 Se 176th Ave, Vancouver, WA 98683-3591 2020-09-17
1063030583 Elizabeth Kakos Specialist/Technologist 528 Pontius Ave N Unit 431, Seattle, WA 98109-5821 2020-07-10
1396369708 Kristin Marie Mikolajewski Specialist/Technologist 116 247th Ave Se, Sammamish, WA 98074-3444 2020-06-01
1437773033 Mckaleb Pool Specialist/Technologist 10777 Grafton Pl Nw, Silverdale, WA 98383-8941 2020-05-31
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City LACEY
Zip Code 98516

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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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