BOUALOYS MASSAGE LLC (NPI# 1356591291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356591291 |
| Entity Type | Organization |
| Organization Name | BOUALOYS MASSAGE LLC |
| Practice Address |
689 Strander Blvd Building C Tukwila WA 98188 |
| Mailing Address |
689 Strander Blvd Building C Tukwila WA 98188-2922 |
| Practice Telephone | 2069926798 |
| Mailing Telephone | 2069926798 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |
| Authorized Official Name | MRS. BOUALOY MANIVANH ABANDO (LMP) |
| Authorized Official Telephone | 2069926798 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00024146 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
689 STRANDER BLVD BUILDING C |
| City | TUKWILA |
| State | WA |
| Zip Code | 98188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194342774 | Yemisirach Fikru Tufa | Registered Nurse | 3039 S 154th St, Aptb304, Seatac, WA 98188 | 2020-06-30 |
| 1841756608 | Silvia Ruby Campos | Behavior Technician | 651 Stander Blvd., Suite 112, Tukwila, WA 98188 | 2019-02-18 |
| 1720562036 | Alissa Hayes | Counselor | 631 Strander Bvd. Ste A., Tukwila, WA 98188 | 2018-09-21 |
| 1457859035 | Bashayer S Albadr | Student in an Organized Health Care Education/Training Program | 6100 South Center Blvd. 3rd Floor, Tukwila, WA 98188 | 2018-01-29 |
| 1356855522 | Miguel Angel Banos | Massage Therapist | 3000 Ne 4th St., Renton, WA 98188 | 2017-11-27 |
| 1801312061 | Emma Sinclair Jennings | Counselor | 651 Strander Blvd. Suite 105, Tukwila, WA 98188 | 2017-08-19 |
| 1518417526 | Jamila Fyrouz Iraqui | Counselor | 15142 65th Ave S, Apt. 312, Tukwila, WASHINGTON 98188 | 2016-10-13 |
| 1487026076 | Catholic Community Services of Western Washington | Clinic/Center | 631 Strander Blvd Ste A, Tukwila, WA 98188 | 2015-10-22 |
| 1659773174 | Thanh Thi-hong Nguyen | Physician Assistant | 3739 S 191st Pl, Seatac, WA 98188 | 2014-09-16 |
| 1053725101 | Affinity Home Care Services Inc | In Home Supportive Care | 601 Strander Blvd, Tukwila, WA 98188 | 2014-06-17 |
| Find all providers in zip 98188 | ||||
| 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 |
|---|---|---|---|---|
| 1962924233 | Shamaure Green | Massage Therapist | 7100 Fun Center Way Ste 120, Tukwila, WA 98188-5540 | 2017-07-08 |
| 1255705968 | Rachel Gumkowski | Massage Therapist | 14121 Tukwila Intl Blvd, Tukwila, WA 98168 | 2015-11-18 |
| 1841615713 | Silbee Sanchez | Massage Therapist | 13028 Interurban Ave. S, Suite 106, Tukwila, WA 98168 | 2014-02-28 |
| 1790024784 | Sandra Oettle | Massage Therapist | 4520 Southcenter Blvd, I 112, Tukwila, WA 98188-7908 | 2013-02-11 |
| 1942566013 | Christopher Lee Nimmo | Massage Therapist | 15254 Sunwood Blvd, E-22, Tukwila, WA 98188-7853 | 2012-04-03 |
| 1588931679 | Maybelyn Sales Macadangdang | Massage Therapist | 2800 Southcenter Mall, #a20, Tukwila, WA 98188-2876 | 2011-11-17 |
| 1245513738 | Nicole M Ewart | Massage Therapist | 6420 S 153rd St, Tukwila, WA 98188-2541 | 2011-09-21 |
| 1225348329 | Sherra Breanne Kurtz | Massage Therapist | 13028 Interurban Ave S Ste 106, Tukwila, WA 98168-3340 | 2010-10-07 |
| 1275771156 | Jamila Lenea Johnson | Massage Therapist | 351 Strander Blvd Ste 8, Tukwila, WA 98188-2916 | 2009-01-30 |
| 1205039153 | Boualoy Manivanh Abando | Massage Therapist | 689 Strander Blvd Bldg C, Tukwila, WA 98188-2922 | 2007-06-07 |
| Find all providers in TUKWILA | ||||
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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.