KRISTY MOODIE (NPI# 1528607322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528607322 |
| Entity Type | Individual |
| Full Name | KRISTY MOODIE |
| Credential | LMT |
| Practice Address |
7858 Ham Rd Custer WA 98240-9517 |
| Mailing Address |
Po Box 229085 Bellingham WA 98229-0903 |
| Practice Telephone | 3603058362 |
| Mailing Telephone | 3603058362 |
| Enumeration Date | 2019-12-27 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7858 HAM RD |
| City | CUSTER |
| State | WA |
| Zip Code | 98240-9517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386774925 | Noel Choquette | Physician Assistant | 2950 Jennifer Ln, Custer, WA 98240-9206 | 2007-03-06 |
| 1235401324 | Roger James Martindale | General Practice | 2818 Stein Hill Ln, Custer, WA 98240-9243 | 2012-02-03 |
| 1699136002 | Kayla Askew | Occupational Therapist | 3538 Birch Bay Lynden Rd, Custer, WA 98240-9508 | 2016-03-11 |
| 1467814640 | Beverly Kathleen Pritchett | Behavioral Analyst | 9236 Delta Line Rd, Custer, WA 98240-9621 | 2016-03-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469291 | Haley Layne Jorgensen | Physical Therapist | 886 Montgomery St Apt 8, Custer, SD 57730-1660 | 2020-05-26 |
| 1245876093 | Shellia Marie Bennett | Massage Therapist | 25389 Mccurran Ranch Rd, Custer, SD 57730-8309 | 2019-11-26 |
| 1235788118 | Linda Meronek | Technician | 2856 County K North, Custer, WI 54423 | 2019-09-04 |
| 1952969123 | Nancy Nicole Peterson | Counselor | 1369 Montgomery St, Custer, SD 57730-8246 | 2019-06-03 |
| 1003304205 | New Trails Ministry, Inc | Clinic/Center | 11455 Elliott Rd, Custer, SD 57730-8239 | 2018-04-24 |
| 1134626492 | Patricia Ann Gregory | Physical Medicine & Rehabilitation | 9108 Highway 401, Custer, KY 40115-5008 | 2018-04-12 |
| 1093227381 | Alexus Cox | Student in an Organized Health Care Education/Training Program | 6377 S Eden Lake Rd, Custer, MI 49405-9654 | 2017-10-26 |
| 1255854998 | Kelli Bolton | Specialist/Technologist | 527 Montgomery St, Custer, SD 57730-1124 | 2017-07-25 |
| 1467814640 | Beverly Kathleen Pritchett | Behavioral Analyst | 9236 Delta Line Rd, Custer, WA 98240-9621 | 2016-03-25 |
| 1699136002 | Kayla Askew | Occupational Therapist | 3538 Birch Bay Lynden Rd, Custer, WA 98240-9508 | 2016-03-11 |
| Find all providers in CUSTER | ||||
| 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 |
|---|---|---|---|---|
| 1245876093 | Shellia Marie Bennett | Massage Therapist | 25389 Mccurran Ranch Rd, Custer, SD 57730-8309 | 2019-11-26 |
| 1528442316 | Jennifer Tietsort | Massage Therapist | 632 Mount Rushmore Rd, Custer, SD 57730-2031 | 2015-07-12 |
| 1063720696 | Laura J. Burden | Massage Therapist | 11 N 5th St, Custer, SD 57730-6801 | 2010-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346177 | Franco Garibaldi | Massage Therapist | 8120 378th Ave Se, Snoqualmie, WA 98065-9338 | 2020-11-06 |
| 1073114815 | Michael Paul Frietze | Massage Therapist | 519 Sw Cascade Ave, Chehalis, WA 98532-3213 | 2020-11-06 |
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1912508094 | Catelyn Renee Wesley | Massage Therapist | 211 Marty Loop, Woodland, WA 98674-7223 | 2020-11-04 |
| 1154922250 | Wanju S Kellams | Massage Therapist | 677 Woodland Square Loop Se # A-8, Lacey, WA 98503-1000 | 2020-11-04 |
| 1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
| 1063013332 | Andrea L Yu | Massage Therapist | 7207 265th St Nw Ste 102, Stanwood, WA 98292-6274 | 2020-11-03 |
| 1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
| 1255931994 | Lotus Lounge Corporation | Massage Therapist | 200 Auburn Ave Ste 3, Auburn, WA 98002-5015 | 2020-10-30 |
| 1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
| 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.