MISS LIDIYA KOZLOVA (NPI# 1184902116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184902116 |
| Entity Type | Individual |
| Full Name | MISS LIDIYA KOZLOVA |
| Credential | LMP |
| Practice Address |
5006 Center St Dr Ste N Aim Physical Therapy Tacoma WA 98327 |
| Mailing Address |
5517 Bridgeport Way W # D7 University Place WA 98467-2004 |
| Practice Telephone | 2539641559 |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2011-07-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60228696 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5006 CENTER ST DR STE N AIM PHYSICAL THERAPY |
| City | TACOMA |
| State | WA |
| Zip Code | 98327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124683610 | Kathryn Michele Hines | Behavior Technician | 1570 Wilmington Dr #220, Dupont, WA 98327 | 2019-05-09 |
| 1841785730 | Ethan Earl Tindall | Dentist | 9900 Lincoln St, 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2018-06-25 |
| 1962996272 | William Thomas Frei | Dentist | 9900 Lincoln St, 2nd Floor, Attn: Credentials Office, Us Army Dentac, Tacoma, WA 98327 | 2018-06-20 |
| 1659873453 | Jacqueline Patrick | Dental Assistant | 9900 Lincoln Street, 2nd Florr, Us Army Dentac, Tacoma, WA 98327 | 2018-03-07 |
| 1215436431 | Careage Home Health LLC | Home Health | 1600 Marshall Circle, Dupont, WA 98327 | 2018-02-02 |
| 1649621400 | Charles Walter Woodruff II | Dentist | Joint Base Lewis-mccord Dentac, Dental Clinic 3, Jblm, WA 98327 | 2016-06-23 |
| 1164898532 | Richard Lauderback | Dentist | 9900 Lincoln Street, 2nd Floor, Attn: Credentials Office, Tacoma, WA 98327 | 2015-08-19 |
| 1639552110 | Philip Henzlik | Dentist | 9900 Lincoln St. 2nd Floor, Us Army Dentac, Tacoma, WA 98327 | 2015-07-02 |
| 1861731739 | Elizabeth Brooke Stout | Behavioral Analyst | 1570 Wilmington Drive, Ste 220, Dupont, WA 98327 | 2013-02-12 |
| 1093043259 | Asa Nels Hansen | Chiropractor | 1000 Station Drive, Suite 100, Dupont, WA 98327 | 2009-11-30 |
| Find all providers in zip 98327 | ||||
| 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 |
|---|---|---|---|---|
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1629684519 | Deon Abdullah | Massage Therapist | 5820 S Sheridan Ave, Tacoma, WA 98408-2304 | 2020-09-16 |
| 1699389205 | Elissa Aspuria | Massage Therapist | 4008 S Pine St, Tacoma, WA 98409-5612 | 2020-09-01 |
| 1841803772 | Cheryl Tjulander | Massage Therapist | 1102 A St Ste 408, Tacoma, WA 98402-5010 | 2020-08-29 |
| 1336768845 | Lee Pham Parkin | Massage Therapist | 2118 Yakima Ct, Tacoma, WA 98405-3864 | 2020-04-14 |
| 1275168866 | Virginia Drohan | Massage Therapist | 2209 N 30th St Ste 2, Tacoma, WA 98403-3352 | 2020-03-04 |
| 1770117350 | Deja Monique Farrant | Massage Therapist | 10926 113th Ave Sw, Tacoma, WA 98498-1465 | 2020-02-24 |
| 1821635731 | Erin Elise Harris | Massage Therapist | 4916 Center St Ste G, Tacoma, WA 98409-2348 | 2019-12-10 |
| 1366088643 | Bryan Dwight Daniels | Massage Therapist | 2924 N 14th St, Tacoma, WA 98406-6906 | 2019-11-21 |
| 1255977559 | Kathleen Deal | Massage Therapist | 2315 Westridge Ave W Apt A10, Tacoma, WA 98466-8204 | 2019-11-21 |
| Find all providers in TACOMA | ||||
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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.