LAVENDER LUXE MASSAGE (NPI# 1609403054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609403054 |
| Entity Type | Organization |
| Organization Name | LAVENDER LUXE MASSAGE |
| Practice Address |
100 3rd St Ste 100 Davenport WA 99122-5008 |
| Mailing Address |
Po Box 321 Davenport WA 99122-0321 |
| Practice Telephone | 5097253333 |
| Practice Fax Number | 5097253334 |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2020-03-25 |
| Authorized Official Name | JENNIFER M DOWNING (OWNER) |
| Authorized Official Telephone | 5099929129 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NPI | 1588107767 | 01 |
| Other Name | Type Code |
|---|---|
| Lavender luxe massage | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LAVENDER LUXE MASSAGE LLC | 100 3d Street Suite 2, Davenport, WA 99122 |
| Street Address |
100 3RD ST STE 100 |
| City | DAVENPORT |
| State | WA |
| Zip Code | 99122-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387697 | Creekside Pharmacy LLC | Pharmacy | 639 Morgan Street, Davenport, WA 99122 | 2018-12-08 |
| 1366959470 | Kandis Rose Paskell | Counselor | 547 Morgan Street, Davenport, WA 99122 | 2018-01-10 |
| 1538567839 | Alyssa Fleming | Speech-Language Pathologist | 28000 Prairie Springs Drive, Davenport, WA 99122 | 2014-12-18 |
| 1477742500 | Daniel W Pitman | Counselor | 1102 8th Street, Davenport, WA 99122 | 2007-10-15 |
| 1730201856 | Capstone Behavioral Health | Counselor | 49 Park Street, Davenport, WA 99122 | 2007-04-06 |
| 1972625762 | David Lee Turner | Dentist | 707 Logan St, Davenport, WA 99122 | 2007-04-04 |
| 1982723318 | Dawn Lorraine Wilcox | Counselor | 49 Park, Unit C, Davenport, WA 99122 | 2007-03-28 |
| 1184789703 | Michael G Van Pevenage | Physical Therapist | 506 Morgan Street, Davenport, WA 99122 | 2006-12-26 |
| 1447323811 | Davenport Vision Clinic, Inc. | Optometrist | 506 8th St, Davenport, WA 99122 | 2006-11-15 |
| 1912002791 | Davenport Pharmacy Inc | Pharmacy | 525 Morgan St, Davenport, WA 99122 | 2006-09-14 |
| Find all providers in zip 99122 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003473349 | Lake Mary Spine & Rehabilitation Center | Clinic/Center | 45677 Highway 27, Davenport, FL 33897-4546 | 2019-05-22 |
| 1295298818 | Team Reid Solutions, Inc. | Clinic/Center | 843 Kettering Road, Davenport, FL 33897 | 2019-04-10 |
| 1871020842 | Mohib Medical LLC | Clinic/Center | 410 Lionel Way Ste 200, Davenport, FL 33837-7809 | 2017-05-22 |
| 1801110945 | Stark Chiropractic, Ltd. | Clinic/Center | 1019 Mound St, Suite 304, Davenport, IA 52803-3964 | 2010-03-18 |
| 1316404957 | Heartland Endocrine Group Plc | Clinic/Center | 4620 E 53rd St Ste 200, Davenport, IA 52807-3627 | 2019-03-01 |
| 1326495771 | Carter Family Chiropractic LLC | Clinic/Center | 235 W 35th St, Suite 2d, Davenport, IA 52806-6141 | 2016-05-16 |
| 1033349253 | Millennium Rehab & Consulting, Inc. | Clinic/Center | 5260 Northwest Blvd, Suite 2, Davenport, IA 52806-2463 | 2009-07-22 |
| 1912192345 | Ramic Davenport, LLC | Clinic/Center | 3006 E 53rd St, Davenport, IA 52807-3012 | 2007-09-10 |
| 1205860400 | Genesis Health System | Clinic/Center | 1520 W 53rd St, Davenport, IA 52806-2459 | 2006-07-11 |
| 1346295466 | Four Corners Internal Medicine, LLC | Clinic/Center | 106 Polo Park East Blvd, Davenport, FL 33897-9407 | 2006-05-24 |
| Find all providers in DAVENPORT | ||||
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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.