ELLE A CLINICAL DAY SPA, INC (NPI# 1346406279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346406279 |
| Entity Type | Organization |
| Organization Name | ELLE A CLINICAL DAY SPA, INC |
| Other Organization Name | ELLE A CLINICAL DAY SPA |
| Practice Address |
15220 Se 272nd St Ste G Kent WA 98042-4241 |
| Practice Telephone | 2536306768 |
| Practice Fax Number | 2536306639 |
| Mailing Telephone | 2536306768 |
| Mailing Fax Number | 2536306639 |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | LEIGH ANNE SHAW (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2536306768 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 602843603 | WA | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Elle A Clinical Day Spa | Doing Business As Name - Organization |
| Street Address |
15220 SE 272ND ST STE G |
| City | KENT |
| State | WA |
| Zip Code | 98042-4241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306986708 | Michelle A Schunzel | Specialist | 15220 Se 272nd St Ste G, Kent, WA 98042-4241 | 2007-02-07 |
| 1407295892 | Lynnae Valentina Fletcher | Contractor | 15220 Se 272nd St Ste G, Kent, WA 98042-4241 | 2013-06-18 |
| 1578820130 | Chante Rose Nye Perez | Massage Therapist | 15220 Se 272nd St Ste G, Kent, WA 98042-4241 | 2012-04-19 |
| 1427290063 | Kristie Hebenicht | Specialist | 15220 Se 272nd St Ste G, Kent, WA 98042-4241 | 2009-03-27 |
| 1851545636 | Layrsa Krishchuk | Specialist | 15220 Se 272nd St Ste G, Kent, WA 98042-4241 | 2008-11-06 |
| 1427214352 | Lynda Mae Mowilos | Specialist | 15220 Se 272nd St Ste G, Kent, WA 98042-4241 | 2008-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483239 | Baptista Kwok Dds1 Pllc | Dentist | 17265 Se Wax Rd., #101, Covington, WA 98042 | 2020-09-28 |
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1417416678 | Anatoliy Voznyarskiy | Behavior Technician | 27023 164th. Ave Se, Covington, WA 98042 | 2019-03-18 |
| 1639693393 | Michele Shilley | Registered Nurse | 24519 185th Pl Se, Covington, WA 98042 | 2017-08-02 |
| 1104281526 | Kimberly Destefano | Licensed Practical Nurse | 27446 151st Pl Se, Kent, WA 98042 | 2015-12-30 |
| 1508243403 | Dora Arralde | Registered Nurse | 14620 S.e. 244th St, Kent, WA 98042 | 2015-04-29 |
| 1609299486 | Mei Ing Yau | Registered Nurse | 14311 Se 243rd St, Kent, WA 98042 | 2014-01-29 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| 1326327073 | Julie A Taylor | Occupational Therapy Assistant | 15630 Se 262nd Pl, Covington, WA 98042 | 2011-08-12 |
| 1720380397 | Blanka Karasek | Pharmacist | 17023 Se 272nd St., Safeway Pharmacy, Covington, WA 98042 | 2010-12-02 |
| Find all providers in zip 98042 | ||||
| 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 |
|---|---|---|---|---|
| 1366982761 | Estrellita Wagner- Villasenor | Specialist | 21413 111th Ct Se, Kent, WA 98031-2190 | 2017-03-03 |
| 1497125116 | Mariah Rock | Specialist | 12911 Southeast Kent Kangley Road, Kent, WA 98030 | 2015-10-07 |
| 1508251620 | Lori Michele Williams | Specialist | 524 W Meeker St Ste 4, Kent, WA 98032-5766 | 2015-04-06 |
| 1982012266 | Bed Bug Burners, LLC | Specialist | 330 Tallmadge Rd., Unit F2, Kent, OH 44240 | 2014-07-30 |
| 1922433515 | Ernest Fatta | Specialist | 23501 112th Ave Se, M102, Kent, WA 98031-3409 | 2013-09-13 |
| 1598018269 | Leslie Wiersum | Specialist | 12033 Se 256th Street, Kent, WA 98030 | 2012-10-18 |
| 1528318862 | Mary Margaret Altena | Specialist | 4014 S 270th St, Kent, WA 98032-7139 | 2012-09-13 |
| 1164797759 | Lisa Marie Shepard | Specialist | 21245 110th Ave Se, Kent, WA 98031-2145 | 2012-03-14 |
| 1629352752 | Brianna Dean | Specialist | 20430 95th Ave S, Kent, WA 98031-1464 | 2011-10-07 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| Find all providers in KENT | ||||
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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.