MATTHEW FREDERICK WYSOCKI (NPI# 1245748383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245748383 |
| Entity Type | Individual |
| Full Name | MATTHEW FREDERICK WYSOCKI |
| Practice Address |
5118 Bosworth Dr Snohomish WA 98290-7700 |
| Mailing Address |
Po Box 629 Granite Falls WA 98252-0629 |
| Practice Telephone | 5202603458 |
| Mailing Telephone | 5202603458 |
| Enumeration Date | 2018-01-10 |
| Last Update Date | 2018-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346772928 | Matthew Stephen Wysocki | Student in an Organized Health Care Education/Training Program | 1111 E Mcdowell Rd, Phoenix, AZ 85006-2612 | 2017-04-01 |
| Street Address |
5118 BOSWORTH DR |
| City | SNOHOMISH |
| State | WA |
| Zip Code | 98290-7700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185579 | Payton Helene Lewis | Massage Therapist | 1101 Ave D, C-106, Snohomish, WA 98290 | 2019-10-09 |
| 1225542921 | Pacifica Sl Snohomish | Assisted Living Facility | 1124 Pine Avenue, Snohomish, WA 98290 | 2017-11-17 |
| 1649781469 | Julia Miller | Behavioral Analyst | 2621 Bickford Ave Ste C, Snohomish, WA 98290 | 2017-10-19 |
| 1417315821 | Sherrie June Cooper | Speech-Language Pathologist | 1131 Silva Street, Snohomish, WA 98290 | 2016-02-01 |
| 1689067514 | Gladdie Altura | Speech-Language Pathologist | 12125 Chain Lake Rd, Snohomish, WA 98290 | 2015-03-17 |
| 1740618321 | Rebekah Joanne Oldenkamp | Naturopath | 110 Cedar Avenue, Suite 101, Snohomish, WA 98290 | 2013-10-17 |
| 1356779151 | Cassandra Hurd | Naturopath | 110 Cedar Ave Apt 101, Snohomish, WA 98290 | 2013-10-15 |
| 1982937801 | Elisa Madeline Chimienti | Massage Therapist | 1610 145th Ave. S.e., Snohomish, WA 98290 | 2009-09-10 |
| 1144452319 | Crystal L Blankinship | Counselor | 1830 Bickford Ave Ste 211, Snohomish, WA 98290 | 2009-08-20 |
| 1649417528 | Sondra Deschell | Reflexologist | 127 Ave A, Ste 2b, Snohomish, WA 98290 | 2009-01-14 |
| Find all providers in zip 98290 | ||||
| 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 |
|---|---|---|---|---|
| 1376185579 | Payton Helene Lewis | Massage Therapist | 1101 Ave D, C-106, Snohomish, WA 98290 | 2019-10-09 |
| 1912557893 | Leo Alonzo Atregenio | Massage Therapist | 5017 135th Pl Se, Snohomish, WA 98296-5218 | 2019-09-12 |
| 1467936328 | Susan Buckholz | Massage Therapist | 1207 13th St Ste G, Snohomish, WA 98290-2000 | 2018-09-18 |
| 1346720497 | Morgan Rae David | Massage Therapist | 1101 Avenue D Ste C106, Snohomish, WA 98290-2083 | 2018-08-17 |
| 1033634068 | Aaron Jason Kondracki | Massage Therapist | 1808 181st Ave Ne, Snohomish, WA 98290-4435 | 2017-08-10 |
| 1699207688 | Julia O'neil | Massage Therapist | 6412 130th St Se, Snohomish, WA 98296-8999 | 2017-03-30 |
| 1356872261 | Valerie Martinez | Massage Therapist | 19417 Badke Rd, Snohomish, WA 98290-7270 | 2017-03-22 |
| 1790222776 | Brittany Reed | Massage Therapist | 322 Pine Ave, Snohomish, WA 98290-2541 | 2017-01-27 |
| 1487105565 | Kathleen Tawlks | Massage Therapist | 17416 Highway 9, Suite B, Snohomish, WA 98296-6304 | 2016-10-24 |
| 1811440407 | Karisa Reinhard | Massage Therapist | 6627 Skipley Rd, Snohomish, WA 98290-5148 | 2016-07-29 |
| Find all providers in SNOHOMISH | ||||
Please comment or provide details below to improve the information on MATTHEW FREDERICK WYSOCKI.
| 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.