MS. KATHRYN LOUISE PETERSON (NPI# 1558417071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558417071 |
| Entity Type | Individual |
| Full Name | MS. KATHRYN LOUISE PETERSON |
| Credential | LMP |
| Practice Address |
401 Olympia Ave Ne Suite 213 Renton WA 98056-4117 |
| Mailing Address |
Po Box 2761 Renton WA 98056-0761 |
| Practice Telephone | 2068169807 |
| Practice Fax Number | 6108199807 |
| Mailing Telephone | 2068169807 |
| Mailing Fax Number | 6108199807 |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00020463 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942608914 | Kathryn Peterson | Registered Nurse | 105 Winter St Apt 2, Brattleboro, VT 05301 | 2014-12-08 |
| 1851493340 | Kathryn Schulz Peterson | Occupational Therapist | 1122 Sw 5th St, Boca Raton, FL 33486-4518 | 2006-09-04 |
| 1003856634 | Kathryn Louise Peterson | Social Worker | 115 E Birch Ave, Flagstaff, AZ 86001-4609 | 2006-06-08 |
| 1821504895 | Kathryn Amanda Peterson | Occupational Therapy Assistant | 2332 Liberty Dr, Coralville, IA 52241-2771 | 2017-12-28 |
| 1659815371 | Kathryn Peterson | Behavior Technician | 2120 Sw Jefferson St, B200, Portland, OR 97201-7727 | 2016-12-14 |
| 1598039422 | Kathryn Marie Peterson | Behavioral Analyst | 2005 Dana Ln, Papillion, NE 68133-2339 | 2012-02-23 |
| 1487852406 | Kathryn M. Peterson | Counselor | 2680 Vernon Dr, Green Bay, WI 54304-5374 | 2007-07-11 |
| 1770626855 | Kathryn Patricia Peterson | Pediatrics | 3333 Burnet Ave, Ml 7009, Cincinnati, OH 45229-3026 | 2007-02-15 |
| 1225128846 | Kathryn Anne Peterson | Internal Medicine | 50 N Medical Dr, Salt Lake City, UT 84132-0001 | 2006-10-13 |
| Street Address |
401 OLYMPIA AVE NE SUITE 213 |
| City | RENTON |
| State | WA |
| Zip Code | 98056-4117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346698644 | Scott Sturdivan | Counselor | 401 Olympia Ave Ne, Suite 345, Renton, WA 98056-4117 | 2016-05-26 |
| 1134409550 | Sherrie L. Holmes | Counselor | 401 Olympia Ave Ne, Suite 312, Box 20, Renton, WA 98056-4117 | 2011-08-17 |
| 1376848630 | Joanne Kay Dilley | Massage Therapist | 401 Olympia Ave Ne, Suite 316, Renton, WA 98056-4117 | 2011-01-18 |
| 1417288986 | Iulian Marius Ionescu | Naturopath | 401 Olympia Ave Ne, Suite 211 Box# 60, Renton, WA 98056-4117 | 2010-01-24 |
| 1295069581 | Annuciata Akongo | Registered Nurse | 401 Olympia Ave Ne, 255, Renton, WA 98056-4117 | 2009-09-21 |
| 1457504201 | Ha Thu Nguyen | Counselor | 401 Olympia Ave Ne, Suite 312, Renton, WA 98056-4117 | 2008-10-24 |
| 1851556906 | Leny Tiu Eidsmore | Naturopath | 401 Olympia Ave Ne, Suite 211, Renton, WA 98056-4117 | 2008-07-28 |
| 1467610444 | Karina L. Ray | Counselor | 401 Olympia Ave Ne, Suite 206, Renton, WA 98056-4117 | 2008-05-27 |
| 1982811808 | Shelli Beecher-seitzler | Counselor | 401 Olympia Ave Ne, Suite 347, Mailbox 32, Renton, WA 98056-4117 | 2007-05-17 |
| 1508079930 | Nicole J Ball | Massage Therapist | 401 Olympia Ave Ne, Suite 316, Renton, WA 98056-4117 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496456 | Lashanda Mccurdy | Massage Therapist | 401 Olympia Avenue Ne, Renton, WA 98056 | 2018-05-09 |
| 1962949545 | Andrea Floth | Behavioral Analyst | 1177 Harrington Ave Ne #304, Renton, WA 98056 | 2017-01-20 |
| 1841695467 | Angelica Tran | Pharmacist | 455 Bronson Way North East, Renton, WA 98056 | 2014-10-24 |
| 1992844534 | Kathleen Maura Koenig | Physical Therapist | 7215 116th Ave Se, Newcastle, WA 98056 | 2007-02-06 |
| 1104975226 | Letha Fernandez | Counselor | 2503 Camas Ave Ne, Renton, WA 98056 | 2007-01-09 |
| 1760402366 | See Jane Inc | Optometrist | 12660 164th Ave Ste A, Renton, WA 98056 | 2006-07-20 |
| 1205860509 | Marta E Long | Internal Medicine | 275 Bronson Way Se, Renton, WA 98056 | 2006-07-10 |
| 1538721931 | Kiabet Sarahi Patino | Counselor | 7972 Maple Ave Se, Snoqualmie, WV 98056 | 2019-07-05 |
| 1710331483 | Aditi Dhar | Family Medicine | 7203 129th Ave Se Ste 100, Newcastle, WA 98056 | 2016-04-19 |
| 1215212287 | Emmie Yun-mei Lo | Pharmacist | 3011 Ne Sunset Blvd, Renton, WA 98056 | 2011-10-20 |
| Find all providers in zip 98056 | ||||
| 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 |
|---|---|---|---|---|
| 1003429291 | Jill Rupp | Massage Therapist | 2100 Lake Washington Blvd N Apt K101, Renton, WA 98056-1455 | 2020-08-26 |
| 1538702394 | Ashi Empire Barefoot Massage | Massage Therapist | 16720 116th Ave Se Ste 5, Renton, WA 98058-5277 | 2019-10-24 |
| 1528610680 | Mark Gerhardt Schambers | Massage Therapist | 665 Bremerton Ave Ne, Renton, WA 98059-4747 | 2019-07-09 |
| 1982269114 | Jeffrey Frank Wasmer | Massage Therapist | 4808 Ne Sunset Blvd Apt B106, Renton, WA 98059-4283 | 2019-05-02 |
| 1669036554 | Ariana Feline Wren | Massage Therapist | 11314 Se 162nd St, Renton, WA 98055-5230 | 2019-04-25 |
| 1669959318 | Kewen Chen | Massage Therapist | 14024 163rd Pl Se, Renton, WA 98059-3662 | 2018-07-25 |
| 1992295703 | Celeste Marie Sage-tate | Massage Therapist | 15 S Grady Way Ste Ll19, Renton, WA 98057-3230 | 2018-05-16 |
| 1912496456 | Lashanda Mccurdy | Massage Therapist | 401 Olympia Avenue Ne, Renton, WA 98056 | 2018-05-09 |
| 1356855522 | Miguel Angel Banos | Massage Therapist | 3000 Ne 4th St., Renton, WA 98188 | 2017-11-27 |
| 1194237784 | Jie Yang | Massage Therapist | 19313 133rd Pl Se, Renton, WA 98058-7700 | 2017-11-03 |
| Find all providers in RENTON | ||||
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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.