MR. JACOB CODY WANGLER (NPI# 1487140513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487140513 |
| Entity Type | Individual |
| Full Name | MR. JACOB CODY WANGLER |
| Credential | LMT # MA60869105 |
| Practice Address |
1111 W Spruce St Ste 25 Yakima WA 98902-3260 |
| Practice Telephone | 5094525155 |
| Practice Fax Number | 5094525355 |
| Mailing Telephone | 5094525155 |
| Mailing Fax Number | 5094525355 |
| Enumeration Date | 2018-07-01 |
| Last Update Date | 2018-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60869105 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1111 W SPRUCE ST STE 25 |
| City | YAKIMA |
| State | WA |
| Zip Code | 98902-3260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1669967865 | Rebecca Schrader | Speech-Language Pathologist | Children's Village 3801 Kern Road, Yakima, WA 98902 | 2018-06-29 |
| 1720572928 | Hyperbaric Centers of Washington | Preventive Medicine | 302 S. 12th Ave., Yakima, WA 98902 | 2018-06-20 |
| 1487155503 | Courtney Lombardi | Nurse Practitioner | 1515 W Yakima Ave, Yakima, WA 98902 | 2018-02-23 |
| 1003329665 | Maria-elena Mendoza | Case Manager/Care Coordinator | 918 E Mead Avenue, Yakima, WA 98902 | 2017-11-06 |
| 1679017610 | Claudia Zepeda | Massage Therapist | 3908 Creekside Loop Ste # 110, Yakima, WA 98902 | 2016-12-09 |
| 1093194425 | Silas Klaver | Podiatrist | 1607 Creekside Loop Ste 140, Yakima, WA 98902 | 2015-05-18 |
| 1821490905 | Jen Lynn Silver | Massage Therapist | 3512 Tieton Dr, Yakima, WA 98902 | 2014-09-20 |
| 1194131383 | Brenna Claire Hayes | Genetic Counselor, MS | 2903 W Walnut, Yakima, WA 98902 | 2014-07-08 |
| 1720400435 | Agnes Nadine Jeske | Speech-Language Pathologist | 621 S. 13th Ave., Mckinley Elementary School, Yakima, WA 98902 | 2014-01-15 |
| Find all providers in zip 98902 | ||||
| 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 |
|---|---|---|---|---|
| 1447857941 | Hillary Leigh Frank | Massage Therapist | 607 S 48th Ave Suite A, Yakima, WA 98908 | 2020-10-07 |
| 1518573179 | Dragonfly Medical Massage Studio LLC | Massage Therapist | 3405 W Nob Hill Blvd Ste A, Yakima, WA 98902-4732 | 2020-09-18 |
| 1326672700 | Sabrina Dawn Caraway | Massage Therapist | 1702 W Prasch Ave Apt A, Yakima, WA 98902-5266 | 2020-02-25 |
| 1245875608 | Jerica Lennartz Mortimer | Massage Therapist | 3003 W Viola Ave, Yakima, WA 98902-4939 | 2019-11-08 |
| 1992367403 | Tiffani Ann Briskey | Massage Therapist | 5110 Tieton Dr Ste 250, Yakima, WA 98908-3426 | 2019-07-04 |
| 1376030197 | Kathy Solie | Massage Therapist | 609 W Yakima Ave, Yakima, WA 98902-3364 | 2018-04-17 |
| 1356859540 | Glisten Tanning Spa & Salon, LLC | Massage Therapist | 5603 Summitview Ave Ste 100, Yakima, WA 98908-3018 | 2018-01-22 |
| 1619490737 | Christine M Armijo | Massage Therapist | 1001 University Parkway, Yakima, WA 98901 | 2017-07-20 |
| 1144754714 | Lucia Espinosa | Massage Therapist | 2405 W Washingtion Ave, Suite 140, Yakima, WA 98903-2510 | 2017-04-20 |
| 1750820882 | Tiandra Scott | Massage Therapist | 108 S 4th Ave, Yakima, WA 98902-3428 | 2017-02-22 |
| Find all providers in YAKIMA | ||||
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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.