MISS SHANNON SCAMAHORN (NPI# 1285772095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285772095 |
| Entity Type | Individual |
| Full Name | MISS SHANNON SCAMAHORN |
| Credential | LMP |
| Practice Address |
162 S Main St Colville WA 99114-2406 |
| Mailing Address |
1060 S Main St #15 Colville WA 99114-9580 |
| Practice Telephone | 5096841420 |
| Mailing Telephone | 5096842832 |
| Enumeration Date | 2007-02-02 |
| 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 | MA9158 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
162 S MAIN ST |
| City | COLVILLE |
| State | WA |
| Zip Code | 99114-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962803411 | Amanda Woodin | Massage Therapist | 162 S Main St, Colville, WA 99114-2406 | 2014-09-15 |
| 1124429683 | Ashton Miller | Massage Therapist | 162 S Main St, Colville, WA 99114-2406 | 2014-09-15 |
| 1073913885 | Pro Bodyworks The Spa, LLC | Massage Therapist | 162 S Main St, Colville, WA 99114-2406 | 2014-08-28 |
| 1477712826 | Melinda Carolyn Trudeau | Specialist | 162 S Main St, Colville, WA 99114-2406 | 2008-06-02 |
| 1649317827 | William A Provost Jr. | Massage Therapist | 162 S Main St, Colville, WA 99114-2406 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033774799 | Salamia Mikheyeva | Massage Therapist | 697 Gillette Rd., Colville, WA 99114 | 2019-05-07 |
| 1053897694 | Rochelle Diconti | Counselor | 358 E Birch Ave Ste 101, Colville, WA 99114 | 2018-07-17 |
| 1679073928 | Laurel Shull | Massage Therapist | 298 S. Main St., Suite 208, Colville, WA 99114 | 2018-02-13 |
| 1235638123 | Taylor Vanwicklen | Nurse's Aide | 165 E. Hawthorne Ave, Colville, WA 99114 | 2018-02-06 |
| 1932608833 | Sandra Ingram | Registered Nurse | 165 E. Hawthorne Avenue, Colville, WA 99114 | 2018-02-06 |
| 1831451350 | Catherine M Lochner | Occupational Therapist | 1366 Onion Creek Rd., Colville, WA 99114 | 2012-06-11 |
| 1245552215 | Georgia Rae Goot | Hearing Instrument Specialist | 519 S. Main St., Colville, WA 99114 | 2010-02-18 |
| 1801018619 | David W King | Counselor | 165 E Hawthorne Avenue, Colville, WA 99114 | 2007-05-02 |
| 1497976484 | Jack Darrell Esvelt | Dentist | 181 E 1st, Colville, WA 99114 | 2007-05-01 |
| 1730229709 | Carol H Leach | Registered Nurse | 982 E Columbia Ave Ste 201, Colville, WA 99114 | 2007-02-07 |
| Find all providers in zip 99114 | ||||
| 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 |
|---|---|---|---|---|
| 1033774799 | Salamia Mikheyeva | Massage Therapist | 697 Gillette Rd., Colville, WA 99114 | 2019-05-07 |
| 1245795764 | Malissa A Brockus | Massage Therapist | 344 N Main St Ste 106, Colville, WA 99114-2344 | 2019-02-08 |
| 1679073928 | Laurel Shull | Massage Therapist | 298 S. Main St., Suite 208, Colville, WA 99114 | 2018-02-13 |
| 1699220640 | Mary Aubert | Massage Therapist | 512 S Hofstetter St, Colville, WA 99114-3342 | 2016-08-19 |
| 1609179738 | Regina Driggs | Massage Therapist | 210 Aladdin Rd, Colville, WA 99114-9101 | 2010-12-11 |
| 1174673578 | Jillian Thorson-friedman | Massage Therapist | 298 S Main St Ste 201, Colville, WA 99114-2416 | 2007-01-10 |
| 1104468529 | Chrystal Haynes, LLC | Massage Therapist | 524 S Main St, Colville, WA 99114-2504 | 2019-10-17 |
| 1558920066 | Emily Lehman | Massage Therapist | 524 S Main St, Colville, WA 99114-2504 | 2019-06-08 |
| 1134630874 | John Michael Rich | Massage Therapist | 525 S Main St, Colville, WA 99114-2539 | 2017-10-21 |
| 1982151601 | Erin Lang | Massage Therapist | 512 S Hofstetter St, Colville, WA 99114-3342 | 2016-09-10 |
| Find all providers in COLVILLE | ||||
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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.