MICAELA LEAVELL (NPI# 1295205060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295205060 |
| Entity Type | Individual |
| Full Name | MICAELA LEAVELL |
| Credential | LMT |
| Practice Address |
6808 220th St Sw Ste 203 Mountlake Terrace WA 98043-2187 |
| Practice Telephone | 4256976100 |
| Mailing Telephone | 4256976100 |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2019-09-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60908528 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NONE | NONE | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 414 Front St N, Issaquah, WA 980272914 | 4253926367 |
| Street Address |
6808 220TH ST SW STE 203 |
| City | MOUNTLAKE TERRACE |
| State | WA |
| Zip Code | 98043-2187 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639515422 | Kathy Nwokobia | Specialist | 6808 220th St Sw Ste 203, Mountlake Terrace, WA 98043-2187 | 2013-05-20 |
| 1699307660 | Emily R Ondatje | Physical Medicine & Rehabilitation | 6808 220th St Sw Ste 203, Mountlake Terrace, WA 98043-2187 | 2020-02-07 |
| 1740764802 | Cassidy Millar | Massage Therapist | 6808 220th St Sw Ste 203, Mountlake Terrace, WA 98043-2187 | 2018-09-24 |
| 1871097360 | Evergreen Massage & Wellness | Physical Medicine & Rehabilitation | 6808 220th St Sw Ste 203, Mountlake Terrace, WA 98043-2187 | 2018-03-20 |
| 1114425238 | Sean Patrick Hall | Physical Medicine & Rehabilitation | 6808 220th St Sw Ste 203, Mountlake Terrace, WA 98043-2187 | 2018-01-23 |
| 1346756145 | Mackenzee Dawn Rice | Physical Medicine & Rehabilitation | 6808 220th St Sw Ste 203, Mountlake Terrace, WA 98043-2187 | 2017-12-17 |
| 1689197642 | Amanda B Christenson | Physical Medicine & Rehabilitation | 6808 220th St Sw Ste 203, Mountlake Terrace, WA 98043-2187 | 2017-07-21 |
| 1154871259 | Maksim Vladimir Sukharev | Physical Medicine & Rehabilitation | 6808 220th St Sw Ste 203, Mountlake Terrace, WA 98043-2187 | 2016-10-12 |
| 1982151304 | Toni Kibbee | Physical Medicine & Rehabilitation | 6808 220th St Sw Ste 203, Mountlake Terrace, WA 98043-2187 | 2016-09-01 |
| 1871953430 | Julie Anne Davis | Specialist | 6808 220th St Sw Ste 203, Mountlake Terrace, WA 98043-2187 | 2016-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785357 | Maria Angelica Lopez | Counselor | 22815 Lakeview Dr Apt 'g' - 308, Mountlake Terrace, WA 98043 | 2020-06-17 |
| 1447891411 | Juana Antonia Hartley | Technician | 4808 221st St. Sw, Mountlake Terrace, WA 98043 | 2019-10-01 |
| 1437709961 | Jamil Vaughn Shoot | Acupuncturist | 21705 56th Ave W, Mount Lake Terrace, WA 98043 | 2019-09-17 |
| 1942709449 | Julie A Hill | Registered Nurse | 22001 44th Ave W, Mountlake Terrace, WA 98043 | 2018-02-09 |
| 1205285004 | Preeti Suryakumar | Occupational Therapist | 23008 56th Ave West, Vineyard Park At Mountlake Terrace, Mountlake Terrace, WA 98043 | 2016-06-13 |
| 1467819623 | Liisa Marlene Geyer | Social Worker | 6021 244th St Sw # 400, Mountlake Terrace, WA 98043 | 2016-01-19 |
| 1346611696 | Isaiah Johnson | Massage Therapist | 21604 66th Ave N, #a, Mountlake Terrace, WA 98043 | 2015-10-13 |
| 1417343260 | Sunanta Angela Astorga | Counselor | 6021 244th St Sw #400, Mountlake Terrace, WA 98043 | 2015-04-08 |
| 1366835746 | Teresa Antoinette White | Chiropractor | 6603 220th St. Sw Suite 100, Mountlake Terrace, WA 98043 | 2015-03-10 |
| 1508156647 | Monica Jean Scott | Massage Therapist | 23009-56 Ave W # B, Mountlake Terrace, WA 98043 | 2011-04-11 |
| Find all providers in zip 98043 | ||||
| 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 |
|---|---|---|---|---|
| 1538640149 | Svetla Ivanova Hristova | Massage Therapist | 6603 220th St Sw Ste 100, Mountlake Terrace, WA 98043-2186 | 2018-08-22 |
| 1912456120 | Jeffrey Burk | Massage Therapist | 4701 223rd Pl Sw, Mountlake Terrace, WA 98043-4113 | 2016-09-28 |
| 1346611696 | Isaiah Johnson | Massage Therapist | 21604 66th Ave N, #a, Mountlake Terrace, WA 98043 | 2015-10-13 |
| 1124495395 | Kevin Hartley | Massage Therapist | 4002 231st Pl Sw, Mountlake Terrace, WA 98043-5019 | 2015-08-24 |
| 1629451984 | Caroline Spaulding | Massage Therapist | 24209 44th Ave W, Mountlake Terrace, WA 98043-5803 | 2015-07-06 |
| 1760880140 | Laura Shadrick | Massage Therapist | 23008 56th Ave W, Mountlake Terrace, WA 98043-4750 | 2014-12-16 |
| 1568719995 | Crystal Sharpe | Massage Therapist | 4104 223rd St Sw, Mountlake Terrace, WA 98043-3646 | 2012-08-03 |
| 1508156647 | Monica Jean Scott | Massage Therapist | 23009-56 Ave W # B, Mountlake Terrace, WA 98043 | 2011-04-11 |
| 1396041406 | Laurel Gardner | Massage Therapist | 21907 64th Ave W Ste 110, Mountlake Terrace, WA 98043-2298 | 2011-02-07 |
| 1659607638 | Ellen Forgett | Massage Therapist | 5807 219th St Sw, Mountlake Terrace, WA 98043-3133 | 2009-10-26 |
| Find all providers in MOUNTLAKE TERRACE | ||||
| City | MOUNTLAKE TERRACE |
| Zip Code | 98043 |
Please comment or provide details below to improve the information on MICAELA LEAVELL.
| 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.