MRS. TIFFANY LEE SHANKS (NPI# 1497105589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497105589 |
| Entity Type | Individual |
| Full Name | MRS. TIFFANY LEE SHANKS |
| Other Name | TIFFANY LEE DIGUE |
| Credential | LMP |
| Practice Address |
11605 State Ave Ste 111 Marysville WA 98271-8427 |
| Mailing Address |
7218 288th St Nw Stanwood WA 98292-8410 |
| Practice Telephone | 3606577183 |
| Practice Fax Number | 3606577188 |
| Mailing Telephone | 4257708930 |
| Mailing Fax Number | 3606577188 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2016-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60672868 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 247200000X | Technician, Other | XT60666196 | WA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902236839 | Tiffany C. Shanks | Marriage & Family Therapist | 21243 Ventura Blvd, 118, Woodland Hills, CA 91364-2109 | 2013-11-13 |
| Street Address |
11605 STATE AVE STE 111 |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98271-8427 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316447519 | Malin Powell | Massage Therapist | 11605 State Ave Ste 111, Marysville, WA 98271-8427 | 2018-02-15 |
| 1407361959 | Trisha Lynn Ayers | Massage Therapist | 11605 State Ave Ste 111, Marysville, WA 98271-8427 | 2017-12-06 |
| 1508388414 | Erin Rubinchik | Massage Therapist | 11605 State Ave Ste 111, Marysville, WA 98271-8427 | 2017-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
| 1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
| 1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
| 1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
| 1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
| 1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
| 1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
| 1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
| 1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
| Find all providers in zip 98271 | ||||
| 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 |
|---|---|---|---|---|
| 1669087672 | Erin L Pieckiel | Massage Therapist | 5326 92nd St Ne, Marysville, WA 98270-2651 | 2020-09-15 |
| 1730706631 | Amy Jean Tuengel | Massage Therapist | 4731 61st Ne, Marysville, WA 98270 | 2020-06-26 |
| 1477063402 | Mindy Corby | Massage Therapist | 765 Applegate Dr, Marysville, MI 48040-1592 | 2017-10-04 |
| 1497287585 | Elizabeth Paglia | Massage Therapist | 4808 Grove St Apt 4, Marysville, WA 98270-4470 | 2017-03-29 |
| 1609323625 | Amanda Lee Wolken | Massage Therapist | 321 D St, Suite F, Marysville, CA 95901-5902 | 2016-09-07 |
| 1598211096 | Cynthia Marie Oberdier | Massage Therapist | 16501 Square Dr, Marysville, OH 43040 | 2016-08-25 |
| 1245785856 | Shannon-lee Dickey Allen | Massage Therapist | 6508 73rd Pl Ne, Marysville, WA 98270-5935 | 2016-08-24 |
| 1356895965 | Taylor Ann Mayers | Massage Therapist | 1821 3rd St Unit B, Marysville, WA 98270-5007 | 2016-08-11 |
| 1619324498 | Mark Robertson | Massage Therapist | 8329 76th Ave Ne, Marysville, WA 98270-7602 | 2016-05-20 |
| 1114383635 | Dominic Bellows | Massage Therapist | 3120 72nd Ave Ne, Marysville, WA 98270-6977 | 2016-01-13 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 98271 |
Please comment or provide details below to improve the information on MRS. TIFFANY LEE SHANKS.
| 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.