MANITOU HORIZONS LLC (NPI# 1346367950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346367950 |
| Entity Type | Organization |
| Organization Name | MANITOU HORIZONS LLC |
| Practice Address |
4412 Pacific Ave Se Suite # 202 Lacey WA 98503-1119 |
| Mailing Address |
1001 Cooper Point Rd Sw Suite 140-341 Olympia WA 98502-1107 |
| Practice Telephone | 3608700878 |
| Mailing Telephone | 3608700878 |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. WILLIAM ALAN CHRISTIE (DIRECTOR) |
| Authorized Official Telephone | 3608700878 |
| Authorized Official Credential | L.M.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | MA00013615 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | L & I | 0162249 | 01 |
| Street Address |
4412 PACIFIC AVE SE SUITE # 202 |
| City | LACEY |
| State | WA |
| Zip Code | 98503-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871646877 | Anke Ulrike Grimsley | Specialist | 4412 Pacific Ave Se, Suite 203, Lacey, WA 98503-1119 | 2007-01-21 |
| 1235255514 | Kenneth Robert Smith | Acupuncturist | 4412 Pacific Ave Se, Lacey, WA 98503-1119 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700253457 | Lisa Kraus | Contractor | 4510 Intelco Loop Se Ste A, Lacey, WA 98503-6005 | 2015-08-28 |
| 1912345505 | Thomas A Polley | Contractor | 1941 Draham Rd Ne, Lacey, WA 98516-3828 | 2013-06-05 |
| 1477747400 | Lori Lyn Klein | Contractor | 8631 Christa Dr Ne, Lacey, WA 98516-7132 | 2007-09-03 |
| 1275665713 | William Alan Christie | Contractor | 422 Carpenter Rd Se, Suite # 104, Lacey, WA 98503-7906 | 2007-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158410 | Luan Kim Do | Contractor | 1832 Pointe Woodworth Dr Ne, Tacoma, WA 98422-3466 | 2020-09-15 |
| 1023635026 | Vanessa L Mendez | Contractor | 4306 Vermilion Ln, Pasco, WA 99301-1321 | 2020-06-25 |
| 1144844150 | Michele Burtner | Contractor | 36 Salvaggi Ln, Elma, WA 98541-9063 | 2020-06-04 |
| 1760017495 | Estefani Perete Gomez | Contractor | 606 Lilly Rd Ne Apt 324, Olympia, WA 98506-5169 | 2020-03-03 |
| 1073144424 | Strom Holdings LLC | Contractor | 3335 Paine Ave, Everett, WA 98201-5301 | 2020-02-03 |
| 1528602182 | Deborah Harris | Contractor | 1284 Mt Baker Ave, Camano Island, WA 98282-8439 | 2019-11-06 |
| 1205486826 | Hattie Marie Stigum | Contractor | 2406 Ne 139th St Apt 298, Vancouver, WA 98686-2314 | 2019-09-16 |
| 1134774425 | Amanda Rene Collins | Contractor | 11905 N Guinevere Dr, Spokane, WA 99218-1715 | 2019-08-05 |
| 1720566755 | American Integrated Health | Contractor | 14121 Tukla Intl Blvd, Tukwila, WA 98168-4122 | 2018-08-01 |
| 1093202053 | Wilson Pershing Stevenson IIi | Contractor | 3250 Port of Benton Blvd Ste D, Richland, WA 99354-1670 | 2018-04-16 |
| Find all providers with the same taxonomy | ||||
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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.