NORTH BEND THERAPEUTIC MASSAGE (NPI# 1316065899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316065899 |
| Entity Type | Organization |
| Organization Name | NORTH BEND THERAPEUTIC MASSAGE |
| Practice Address |
410 North Bend Way North Bend WA 98045 |
| Mailing Address |
Po Box 87 North Bend WA 98045-0087 |
| Practice Telephone | 4258885060 |
| Mailing Telephone | 4258885060 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENDRA GUDZ (MANAGER) |
| Authorized Official Telephone | 4258885060 |
| Authorized Official Credential | LMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 17224 | WA | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NORTH BEND THERAPEUTIC MASSAGE, LLC | 410 E North Bend Way, North Bend, WA 98045 |
| Street Address |
410 NORTH BEND WAY |
| City | NORTH BEND |
| State | WA |
| Zip Code | 98045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124151824 | Lauren May Wicken Kuntz | Massage Therapist | 410 North Bend Way, North Bend, WA 98045 | 2007-03-13 |
| 1417144874 | Teresa L Stokes | Massage Therapist | 410 North Bend Way, North Bend, WA 98045-0087 | 2007-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730426388 | Corrinna Walter | Student in an Organized Health Care Education/Training Program | 1345 Stilson Avenue Se, North Bend, WA 98045 | 2013-01-15 |
| 1265776066 | Barry Crossan | Pharmacist | 360 E North Bend Way, North Bend, WA 98045 | 2012-11-16 |
| 1013200807 | Therapeutic Health LLC | Massage Therapist | 230 W 3rd Street, North Bend, WA 98045 | 2011-05-26 |
| 1922399500 | Nicole Renee Femling | Massage Therapist | 111 W North Bend Way, North Bend, WA 98045 | 2011-04-29 |
| 1922309186 | John Hammond Gower IIi | Mechanotherapist | 12622 412th Se Ave, North Bend, WA 98045 | 2010-11-04 |
| 1508194879 | Leanne Bruner | Contractor | 410 E. North Bend Way, North Bend, WA 98045 | 2009-11-25 |
| 1649456344 | Frankie Eugene Orr | Massage Therapist | 113 Bendigo Blvd. N, Unit-c, North Bend, WA 98045 | 2008-01-14 |
| 1285826537 | Steven L. Paige | Dentist | 6015 Capitol Blvd, Tumwater, WA 98045 | 2007-08-10 |
| 1689865339 | The Snoqualmie Tribe | Clinic/Center | 404 Main Avenue South, North Bend, WA 98045 | 2007-08-07 |
| 1760695142 | Nancy J Coltom | Massage Therapist | 249 Main Ave, Suite B, North Bend, WA 98045 | 2007-05-08 |
| Find all providers in zip 98045 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679837157 | Christina Lee Colo | Specialist | 2085 Inland Dr Ste A, North Bend, OR 97459-1203 | 2012-06-28 |
| 1871862284 | Julie Kristen Korssjoen | Specialist | 13710 461st Pl Se, North Bend, WA 98045-8865 | 2011-12-14 |
| 1356661243 | Christie A Schell | Specialist | 67644 Mettman Creek Rd, North Bend, OR 97459-7570 | 2010-06-02 |
| 1487719779 | Roxanne Rust | Specialist | 301 W. North Bend Way, Suite 201, North Bend, WA 98045 | 2006-12-27 |
| 1730252552 | Sharon Ann Sandin | Specialist | 209 Main Ave So, Suite 102, North Bend, WA 98045-1521 | 2006-11-17 |
| 1336225283 | Christa Louise Mcvicker | Specialist | 213 Bendigo Blvd. N. #3, North Bend, WA 98045 | 2006-10-31 |
| 1255687083 | Nicole P Demetrescu | Specialist | 209 Main Ave S, Suite 111, North Bend, WA 98045-8139 | 2012-07-30 |
| 1194043687 | Gary Pickett | Specialist | 2472 Broadway, North Bend, OR 97459 | 2010-05-10 |
| 1629216494 | Sara Hayes | Specialist | 231 Bendigo Blvd N, North Bend, WA 98045-8259 | 2009-02-01 |
| 1164537882 | Gregory Schandelmeier | Specialist | 2191 Marion St, North Bend, OR 97459-2314 | 2006-08-20 |
| Find all providers in NORTH BEND | ||||
| City | NORTH BEND |
| Zip Code | 98045 |
Please comment or provide details below to improve the information on NORTH BEND THERAPEUTIC MASSAGE.
| 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.