MICHELLE ANGELA BOYLAN (NPI# 1194932046) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194932046 |
| Entity Type | Individual |
| Full Name | MICHELLE ANGELA BOYLAN |
| Credential | L.M.P. |
| Practice Address |
1820 Black Lake Blvd Sw #103 Olympia WA 98512-5619 |
| Mailing Address |
7824 Box Elder Dr Sw Olympia WA 98512-2327 |
| Practice Telephone | 3609437665 |
| Mailing Telephone | 3602805359 |
| Mailing Fax Number | 3603574880 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00013589 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1820 BLACK LAKE BLVD SW #103 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98512-5619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467518944 | Nicole R Mccowan | Specialist | 1820 Black Lake Blvd Sw, Suite 103, Olympia, WA 98512-5619 | 2006-12-28 |
| 1316276421 | Jane E Morgan | Counselor | 1820 Black Lake Blvd Sw, Suite 101, Olympia, WA 98512-5619 | 2009-12-18 |
| 1780861112 | Patricia Anne Wilburn | Specialist | 1820 Black Lake Blvd Sw, #103, Olympia, WA 98512-5619 | 2008-01-28 |
| 1205953221 | Sarah Tung | Acupuncturist | 1820 Black Lake Blvd Sw, Suite 102, Olympia, WA 98512-5619 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| Find all providers in zip 98512 | ||||
| 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.