AMANDA WICK BODYWORK (NPI# 1306405980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306405980 |
| Entity Type | Organization |
| Organization Name | AMANDA WICK BODYWORK |
| Practice Address |
1871 Nw Gilman Blvd Ste 2 Issaquah WA 98027-8130 |
| Mailing Address |
15230 206th Ave Se Renton WA 98059-9052 |
| Practice Telephone | 2063838916 |
| Mailing Telephone | 2063838916 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |
| Authorized Official Name | AMANDA WICK (MEMBER) |
| Authorized Official Telephone | 2063838916 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1417 Nw 54th St Ste 245, Seattle, WA 981073570 | 2063838916 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | AMANDA WICK BODYWORK, LLC | 1417 Nw 54th St, #245, Seattle, WA 98107-3570 |
| Street Address |
1871 NW GILMAN BLVD STE 2 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-8130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740441260 | Mary Elizabeth Cusic | Speech-Language Pathologist | 1871 Nw Gilman Blvd Ste 2, Issaquah, WA 98027-8116 | 2008-06-17 |
| 1710358080 | John Williamson | Speech-Language Pathologist | 1871 Nw Gilman Blvd Ste 2, Issaquah, WA 98027-8116 | 2015-10-13 |
| 1497137376 | Olivia Grothe | Behavioral Analyst | 1871 Nw Gilman Blvd Ste 2, Issaquah, WA 98027-8116 | 2015-06-26 |
| 1912323072 | Chris Kane | Counselor | 1871 Nw Gilman Blvd Ste 2, Issaquah, WA 98027-8116 | 2014-03-13 |
| 1710303417 | Jessica Shepherd | Occupational Therapy Assistant | 1871 Nw Gilman Blvd Ste 2, Issaquah, WA 98027-8116 | 2014-03-05 |
| 1902234164 | Nicole Peter | Behavioral Analyst | 1871 Nw Gilman Blvd Ste 2, Issaquah, WA 98027-8116 | 2013-10-28 |
| 1760815500 | Jamie Mills | Behavioral Analyst | 1871 Nw Gilman Blvd Ste 2, Issaquah, WA 98027-8116 | 2013-08-15 |
| 1467885202 | Charlotte Hubbard | Behavioral Analyst | 1871 Nw Gilman Blvd Ste 2, Issaquah, WA 98027-8116 | 2013-08-15 |
| 1295177384 | Sara Goldstein | Behavioral Analyst | 1871 Nw Gilman Blvd Ste 2, Issaquah, WA 98027-8116 | 2013-07-18 |
| 1942641303 | Lindsey Bailey | Behavioral Analyst | 1871 Nw Gilman Blvd Ste 2, Issaquah, WA 98027-8116 | 2013-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| 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 |
|---|---|---|---|---|
| 1164038519 | Kylie Van Cleve | Massage Therapist | 1320 Nw Mall St Ste A2, Issaquah, WA 98027-8964 | 2020-09-21 |
| 1285244640 | Songting Chi | Massage Therapist | 2009 Nw Steelrake Pl Unit P308, Issaquah, WA 98027-7563 | 2020-07-31 |
| 1265085500 | Emma Ritter | Massage Therapist | 680 Nw Gilman Blvd Ste A1, Issaquah, WA 98027-2446 | 2019-07-16 |
| 1659885119 | Amanda Marie Carter | Massage Therapist | 26248 Se 162nd Pl, Issaquah, WA 98027-9802 | 2017-11-20 |
| 1154835809 | Julie Mavros | Massage Therapist | 23262 Se 57th St, Issaquah, WA 98029-8905 | 2017-11-16 |
| 1609394360 | Simon B Tapia | Massage Therapist | 600 Front St S Apt G204, Issaquah, WA 98027-4244 | 2017-09-01 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1124550751 | Shanna Chaffee | Massage Therapist | 175 1st Pl Nw Ste C, Issaquah, WA 98027-2746 | 2017-04-02 |
| 1174063564 | Kerry S Brown | Massage Therapist | 680 Nw Gilman Blvd Ste A, Issaquah, WA 98027-2454 | 2017-03-03 |
| 1184073660 | Kathleen Jaramillo | Massage Therapist | 201 Mountain Park Blvd Sw, Apt. E106, Issaquah, WA 98027-3667 | 2016-06-06 |
| Find all providers in ISSAQUAH | ||||
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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.