BRANDY LISTERMAN (NPI# 1184064412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184064412 |
| Entity Type | Individual |
| Full Name | BRANDY LISTERMAN |
| Practice Address |
312 Columbia St Nw Olympia WA 98501-1031 |
| Practice Telephone | 3603571390 |
| Mailing Telephone | 3603571390 |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2013-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 60191640 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MASSAGE PRACTITIONER LICENSE | MA 60191640 | 01 |
| Street Address |
312 COLUMBIA ST NW |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003009531 | Terra J Jolly | Massage Therapist | 312 Columbia St Nw, Olympia, WA 98501-1031 | 2007-08-17 |
| 1366885964 | Copper Moon Massage Therapy | Massage Therapist | 312 Columbia St Nw, Olympia, WA 98501-1031 | 2013-04-12 |
| 1801139282 | Danielle Manning | Massage Therapist | 312 Columbia St Nw, Olympia, WA 98501-1031 | 2013-04-03 |
| 1780920348 | Kristi Jo Bonk | Mechanotherapist | 312 Columbia St Nw, Olympia, WA 98501-1031 | 2012-12-28 |
| 1336422583 | Yara Dagloria | Massage Therapist | 312 Columbia St Nw, Olympia, WA 98501-1031 | 2011-09-23 |
| 1669755070 | Meave Mageir Short | Massage Therapist | 312 Columbia St Nw, Olympia, WA 98501-1031 | 2011-09-21 |
| 1619287604 | Danette M Bakewell | Specialist | 312 Columbia St Nw, Olympia, WA 98501-1031 | 2010-10-08 |
| 1609047661 | Tamia Renee Treesong | Specialist | 312 Columbia St Nw, Olympia, WA 98501-1031 | 2008-03-18 |
| 1235326869 | Nicholas V Myers | Specialist | 312 Columbia St Nw, Olympia, WA 98501-1031 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| 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.