MS. ALICE RENEE LOEBSACK


Address: 5000 Abbey Way Se, Lacey, WA 98503
Phone: 3604384536

MS. ALICE RENEE LOEBSACK (NPI# 1598806788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598806788
Entity Type Individual
Full Name MS. ALICE RENEE LOEBSACK
Credential ATC, CSCS
Practice Address 5000 Abbey Way Se
Lacey
WA 98503
Mailing Address 5000 Abbey Way Se
Lacey
WA 98503-3200
Practice Telephone 3604384536
Practice Fax Number 3604384568
Mailing Telephone 2533630005
Enumeration Date 2007-02-09
Last Update Date 2018-08-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA WA DEPARTMENT OF HEALTH LISCENSE A160095964 01

Office Location

Street Address 5000 ABBEY WAY SE
City LACEY
State WA
Zip Code 98503

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134598949 Ramzy Assaf Specialist/Technologist 5000 Abbey Way Se, Lacey, WA 98503-3200 2015-09-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457838989 Michele Nordgren Bourque Psychologist 4329 Concordia Lane Se, Lacey, WA 98503 2018-07-26
1831638675 Trevor John Marum Chiropractor 3945 8th Ave Se, Lacey, WA 98503 2017-02-13
1366993362 Vanessa Julie Iglesias Mehta Physician Assistant 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 2016-10-14
1144683616 Millenda Thomas Registered Nurse 1233 Firpark Dr. S.e., Lacey, WA 98503 2016-04-01
1609257245 Erika Charlotte Vonkotzebue Counselor 4401 37th Ave. Se #25, Lacey, WA 98503 2015-06-09
1437576196 Candy Nelson Registered Nurse 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 2014-03-19
1134563919 Alvin Fitzgerald Pharmacist 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 2013-04-23
1518200724 Katherine Mary Marsh Psychologist 5191 Corporate Center Court Se, Lacey, WA 98503 2013-04-05
1740530906 Leanna Marie Mcbroom Massage Therapist 1608 Diamond Loop Se, Lacey, WA 98503 2012-09-14
1831445196 Joyce Emily Christensen Coniff Counselor 5706 39th Ave Se., Lacey, WA 98503 2012-07-24
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023638889 Rebekah Mattes Specialist/Technologist 6436 Juliann Ct Se, Lacey, WA 98513-6525 2020-04-22
1467986125 Rachel Montgomery Specialist/Technologist 3524 Radcliff Ct Se, Lacey, WA 98503-6238 2017-04-19
1184048688 Stephanie Renee Hjortedal Specialist/Technologist 8750 Tallon Lane Ne., Lacey, WA 98516 2014-02-05
1477673978 William V Slosson Specialist/Technologist 350 River Ridge Dr Se, Lacey, WA 98513-6830 2007-03-29
1144250408 Dana K Roberts Specialist/Technologist 5300 Pacific Ave Se, Lacey, WA 98503-7500 2006-07-03
1447772900 Kayla Marie Clauson Specialist/Technologist 4740 Avery Ln Se, Lacey, WA 98503-5603 2017-07-16
1134598949 Ramzy Assaf Specialist/Technologist 5000 Abbey Way Se, Lacey, WA 98503-3200 2015-09-22
1457622391 Rachel Lynne Sherburne Specialist/Technologist 5300 Pacific Ave Se, Lacey, WA 98503-7500 2012-01-24
1255592754 Nicole Danielle Jackson Specialist/Technologist 5300 Pacific Ave Se, Lacey, WA 98503-7500 2008-06-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851990329 Tina Daniels Specialist/Technologist 5104 W Nob Hill Blvd Apt 8, Yakima, WA 98908-5814 2020-10-25
1902405079 Sara Danielle Holey Specialist/Technologist 24048 Se 111th St, Issaquah, WA 98027-8320 2020-10-20
1265049902 Erin L Rose Specialist/Technologist 510 Nw Larry St, Pullman, WA 99163-3584 2020-09-27
1790392629 William Bratton Specialist/Technologist 26222 119th Dr Se, Kent, WA 98030-7882 2020-09-24
1790392611 Carli Grace Robins Specialist/Technologist 3654 Nw Cascade Ave, East Wenatchee, WA 98802-9570 2020-09-24
1164039079 Jalyn Rutledge Specialist/Technologist Bohler Athletic Complex Cougar Way - Wsu, Pullman, WA 99164-0001 2020-09-24
1356957054 Alex Vincent Pham Specialist/Technologist 3523 Se 176th Ave, Vancouver, WA 98683-3591 2020-09-17
1063030583 Elizabeth Kakos Specialist/Technologist 528 Pontius Ave N Unit 431, Seattle, WA 98109-5821 2020-07-10
1396369708 Kristin Marie Mikolajewski Specialist/Technologist 116 247th Ave Se, Sammamish, WA 98074-3444 2020-06-01
1437773033 Mckaleb Pool Specialist/Technologist 10777 Grafton Pl Nw, Silverdale, WA 98383-8941 2020-05-31
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Competitor

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City LACEY
Zip Code 98503

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Dataset Information

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.

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