MRS. MANDY ELLEN KNUDTSON (NPI# 1285754648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285754648 |
| Entity Type | Individual |
| Full Name | MRS. MANDY ELLEN KNUDTSON |
| Credential | L.M.P. |
| Practice Address |
7907 212th St Sw Suite 101a Edmonds WA 98026-7541 |
| Mailing Address |
10332 8th Pl Se Lake Stevens WA 98258-9403 |
| Practice Telephone | 4256737476 |
| Mailing Telephone | 4256737476 |
| Enumeration Date | 2007-03-30 |
| 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 | 024201MA00014029 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7907 212TH ST SW SUITE 101A |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-7541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972537926 | Integrated Rehabilitation Group PC | Clinic/Center | 7907 212th St Sw, Suite 219, Edmonds, WA 98026-7541 | 2006-07-10 |
| 1265982789 | Jared Putman | Counselor | 7907 212th St Sw, Suite 103, Edmonds, WA 98026-7541 | 2016-10-07 |
| 1104184886 | Integrated Rehab Group Limited Partnership | Occupational Therapist | 7907 212th St Sw, #219, Edmonds, WA 98026-7541 | 2012-05-01 |
| 1306974654 | Robin Laurel Goans | Massage Therapist | 7907 212th St Sw, Ste. 200, Edmonds, WA 98026-7541 | 2007-03-01 |
| 1912045550 | Raymond M. Biersbach | Psychologist | 7907 212th St Sw, Suite 9a, Edmonds, WA 98026-7541 | 2007-02-04 |
| 1346315793 | Carla Ann Brooks | Speech-Language Pathologist | 7907 212th St Sw, Ste 105, Edmonds, WA 98026-7525 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| 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 |
|---|---|---|---|---|
| 1912514498 | Shannon Hart | Massage Therapist | 122 5th Ave S, Edmonds, WA 98020-3423 | 2020-09-28 |
| 1174130793 | Georgia Leann Fahl | Massage Therapist | 122 5th Ave S # 122b, Edmonds, WA 98020-3423 | 2020-09-28 |
| 1154969780 | Alsia Soiset LLC | Massage Therapist | 23519 88th Ave W, Edmonds, WA 98026-8619 | 2019-12-13 |
| 1619444031 | Aiyana Aisha Taryn White | Massage Therapist | 525 5th Ave S Ste 102, Edmonds, WA 98020-3612 | 2018-10-24 |
| 1578060125 | Colleen Reeves | Massage Therapist | 51 W Dayton St Ste 304, Edmonds, WA 98020-4111 | 2018-04-10 |
| 1821590266 | Donna Cugini | Massage Therapist | 210 5th Ave S Ste 207, Edmonds, WA 98020-3625 | 2018-03-01 |
| 1538688189 | Jennifer Ducharme | Massage Therapist | 51 W. Dayton St 304, Edmonds, WA 98020 | 2017-09-14 |
| 1144674839 | Deborah Pedrola | Massage Therapist | 6615 Marine View Dr, Edmonds, WA 98026-3120 | 2016-04-19 |
| 1629431697 | Tina Marie Palmer | Massage Therapist | 10702 Robin Hood Dr, Edmonds, WA 98020-6162 | 2016-03-29 |
| 1881065936 | Ryan L Ashbridge | Massage Therapist | 8015 213th St Sw, Edmonds, WA 98026-7452 | 2015-10-15 |
| Find all providers in EDMONDS | ||||
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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.