ATHENA PEDERSON (NPI# 1215110309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215110309 |
| Entity Type | Individual |
| Full Name | ATHENA PEDERSON |
| Credential | LMP |
| Practice Address |
23925 225th Way Se Suite B Maple Valley WA 98038-5233 |
| Mailing Address |
12932 Se Kent Kangley Rd 438 Kent WA 98030-7940 |
| Practice Telephone | 4254330760 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00023933 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
23925 225TH WAY SE SUITE B |
| City | MAPLE VALLEY |
| State | WA |
| Zip Code | 98038-5233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013087840 | L Carlos Morales Dds Ps | Dentist | 23925 225th Way Se, Ste A, Maple Valley, WA 98038-5233 | 2006-11-09 |
| 1952652786 | Erin Pflueger | Dietitian, Registered | 23925 225th Way Se, #b, Maple Valley, WA 98038-5233 | 2012-09-19 |
| 1841545696 | Caleb Louvier | Physical Therapist | 23925 225th Way Se, #b, Maple Valley, WA 98038-5233 | 2012-07-18 |
| 1922231968 | Stephanie D Howell | Massage Therapist | 23925 225th Way Se, Suite B, Maple Valley, WA 98038-5233 | 2009-08-25 |
| 1376688747 | Jennifer Soames | Massage Therapist | 23925 225th Way Se, Suite B, Maple Valley, WA 98038-5233 | 2007-02-21 |
| 1821133463 | Melissa Ann Thrash | Massage Therapist | 23925 225th Way Se, Suite B, Maple Valley, WA 98038-5233 | 2007-02-21 |
| 1063557684 | Amanda K Silverman | Massage Therapist | 23925 225th Way Se, Suite B, Maple Valley, WA 98038-5233 | 2007-02-21 |
| 1396880860 | Christine Hogan | Massage Therapist | 23925 225th Way Se, Suite B, Maple Valley, WA 98038-5233 | 2007-02-21 |
| 1265577340 | Jillian Clifton | Massage Therapist | 23925 225th Way Se, Suite B, Maple Valley, WA 98038-5233 | 2007-02-20 |
| 1275685372 | Kirstin Uchida | Physical Therapist | 23925 225th Way Se, Suite B, Maple Valley, WA 98038-5233 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619456357 | Ryan Koichi Taniguchi | Physical Therapist | 26837 Maple Valley Black Diamond Rd Se Ste 200, Maple Valley, WA 98038 | 2018-08-13 |
| 1841722311 | Michelle Atkinson | Behavior Technician | 26846 226th Pl Se, Maple Valley, WA 98038 | 2017-04-03 |
| 1285019828 | Blue River Counseling, LLC | Counselor | 22728 228th Avenue Se, Maple Valley, WA 98038 | 2015-07-24 |
| 1619356060 | Victoria Labrie | Specialist/Technologist | 24961 230th Pl Se, Maple Valley, WA 98038 | 2015-05-19 |
| 1114328523 | Scott Joseph Akers | Physical Therapist | 26837 Maple Valley Black Diamond Road, Suite 200, Maple Valley, WA 98038 | 2014-09-05 |
| 1487069647 | Thomas A. Holt Dds Pllc | Dentist | 27016 Maple Valley Black Diamond Road South East, Maple Valley, WA 98038 | 2014-06-26 |
| 1548515216 | Stirewalt PC | Dentist | 24040 Se Kent Kangley Rd, Suite E200, Maple Valley, WA 98038 | 2012-07-19 |
| 1124399183 | Samantha Halfen | Counselor | 26828 Maple Valley Hwy, Suite #152, Maple Valley, WA 98038 | 2012-01-24 |
| 1326336868 | Troy Aaron Nordyke | Physical Therapist | 26837 Maple Valley Highway, Suite 200, Maple Valley, WA 98038 | 2011-07-19 |
| 1598074510 | Luna Healthcare, LLC | Audiologist-Hearing Aid Fitter | 22010 Se 248th Street, Maple Valley, WA 98038 | 2010-09-27 |
| Find all providers in zip 98038 | ||||
| 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 |
|---|---|---|---|---|
| 1316575145 | Alissa D Schillinger | Massage Therapist | 22435 Se 240th St Apt D302, Maple Valley, WA 98038-5869 | 2020-03-28 |
| 1154817047 | Stephanie Gilyeat | Massage Therapist | 26245 235th Ave Se, Maple Valley, WA 98038-4705 | 2018-07-03 |
| 1003345653 | Elizabeth May Jones | Massage Therapist | 24025 254th Ave Se, Maple Valley, WA 98038-8222 | 2017-06-07 |
| 1548708969 | Joni Gibson | Massage Therapist | 26545 Maple Valley Black Diamond Rd Se, Suite K160, Maple Valley, WA 98038-8391 | 2017-02-06 |
| 1972951648 | Tina Schroeder | Massage Therapist | 27203 216th Ave Se Ste 1, Maple Valley, WA 98038-3273 | 2016-06-02 |
| 1952772683 | Triauna Powell | Massage Therapist | 26545 Maple Valley Black Diamond Rd Se Ste K160, Maple Valley, WA 98038-8391 | 2015-10-07 |
| 1740689678 | Crystal Lena Porthen | Massage Therapist | 23229 Lower Dorre Don Way Se, Maple Valley, WA 98038-8283 | 2014-08-15 |
| 1700215654 | Kendall Mathew | Massage Therapist | 28129 239th Pl Se, Maple Valley, WA 98038-5123 | 2013-11-01 |
| 1497026454 | Jennifer Elizabeth Lindsay | Massage Therapist | 27203 216th Ave Se Ste 10, Maple Valley, WA 98038-3274 | 2012-01-23 |
| 1902176852 | Levi Robert Baroldy | Massage Therapist | 21616 Se 239th St, Maple Valley, WA 98038-8571 | 2012-01-10 |
| Find all providers in MAPLE VALLEY | ||||
| City | MAPLE VALLEY |
| Zip Code | 98038 |
Please comment or provide details below to improve the information on ATHENA PEDERSON.
| 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.