OPULENCE HAIR SALON, PLLC (NPI# 1639493778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639493778 |
| Entity Type | Organization |
| Organization Name | OPULENCE HAIR SALON, PLLC |
| Other Organization Name | OPULENCE SALON & DAY SPA |
| Practice Address |
902 Commercial Ave Anacortes WA 98221-4115 |
| Practice Telephone | 3602990806 |
| Practice Fax Number | 3602990806 |
| Mailing Telephone | 3602990806 |
| Mailing Fax Number | 3602990806 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-03-18 |
| Authorized Official Name | MR. RICKY A CONKLIN (MANAGER) |
| Authorized Official Telephone | 3602990806 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Opulence Salon & Day Spa | Doing Business As Name - Organization |
| Street Address |
902 COMMERCIAL AVE |
| City | ANACORTES |
| State | WA |
| Zip Code | 98221-4115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760035703 | Amber Upchurch | Behavioral Analyst | 2405 28thst, Anacortes, WA 98221 | 2019-07-18 |
| 1508329475 | Sean Elby Kasperbauer-mccool | Massage Therapist | 1010 6th St., Suite A, Anacortes, WA 98221 | 2019-04-09 |
| 1558843524 | Caitlyn Kimble Crowder | Physical Therapist | 1610 Commercial Ave Ste 1-a, Anacortes, WA 98221 | 2018-09-05 |
| 1740731819 | Stanojka Norma Stuart | Speech-Language Pathologist | 6837 Deer Lane, Anacortes, WA 98221 | 2016-10-24 |
| 1447638853 | Island Behavioral Medicine, Ps | Counselor | 3208 K Ave, Anacortes, WA 98221 | 2015-05-18 |
| 1972903615 | Clarence Hugh Jonson | Specialist | 6818 Gibralter Place, Anacortes, WA 98221 | 2014-08-29 |
| 1073939062 | Puget Sound Kidney Centers | Clinic/Center | 809 31st St, Anacortes, WA 98221 | 2014-03-14 |
| 1104161066 | Nancy J. Schafer | Speech-Language Pathologist | 2200 M Avenue, Anacortes, WA 98221 | 2012-12-04 |
| 1063766053 | Ingrid K. Larson Thieman | Pharmacist | 9080 S March Pt Road B4, Anacortes, WA 98221 | 2012-10-30 |
| 1265793723 | Elga Kinnear | Psychologist | 1019 21st Street, Anacortes, WA 98221 | 2012-05-31 |
| Find all providers in zip 98221 | ||||
| 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 |
|---|---|---|---|---|
| 1659934768 | Balanced Life Spa | Massage Therapist | 1010a 6th St, Anacortes, WA 98221-1718 | 2019-04-16 |
| 1508329475 | Sean Elby Kasperbauer-mccool | Massage Therapist | 1010 6th St., Suite A, Anacortes, WA 98221 | 2019-04-09 |
| 1851899892 | Karen Rayleen Frazier | Massage Therapist | 4145 Sharpe Ln, Anacortes, WA 98221-8243 | 2018-01-24 |
| 1821544610 | Sherean Z Rogouski | Massage Therapist | 1519 38th St, Anacortes, WA 98221-3511 | 2016-08-31 |
| 1265806715 | Danielle Rustad | Massage Therapist | 907 6th St, Anacortes, WA 98221-1716 | 2015-11-20 |
| 1083012991 | Kayla Bethany Hall I | Massage Therapist | 11394 Havekost Rd, Anacortes, WA 98221-8799 | 2014-12-09 |
| 1326442898 | Lauren Michelle Drum | Massage Therapist | 3218 R Ave Ste A, Anacortes, WA 98221-3449 | 2014-10-13 |
| 1275969552 | Teresa S. Puskas | Massage Therapist | 3813 Terrace Dr, Anacortes, WA 98221-3657 | 2013-09-18 |
| 1083981765 | Vanessa Foster | Massage Therapist | 1010 34th St, Anacortes, WA 98221-4258 | 2011-11-22 |
| 1205078094 | Kelsy Lynn Graves | Massage Therapist | 911 29th St, Anacortes, WA 98221-2833 | 2009-03-25 |
| Find all providers in ANACORTES | ||||
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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.