SHANDA LYNN WHITNEY (NPI# 1649776402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649776402 |
Entity Type | Individual |
Full Name | SHANDA LYNN WHITNEY |
Credential | LMT |
Practice Address |
1412 E Yelm Ave Ste C101 Yelm WA 98597-8328 |
Mailing Address |
Po Box 248 Roy WA 98580-0248 |
Practice Telephone | 3604587533 |
Practice Fax Number | 3604587699 |
Mailing Telephone | 2532259163 |
Enumeration Date | 2018-04-02 |
Last Update Date | 2018-04-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA60014635 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1412 E YELM AVE STE C101 |
City | YELM |
State | WA |
Zip Code | 98597-8328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891305777 | Paulette Guilbault | Massage Therapist | 1412 E Yelm Ave Ste C101, Yelm, WA 98597-8328 | 2020-08-05 |
1063055143 | Brittney Mckinsey Moore | Massage Therapist | 1412 E Yelm Ave Ste C101, Yelm, WA 98597-8328 | 2019-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538652888 | Michael Nathan Steim | Dentist | 504 Yelm Avenue West, Yelm, WA 98597 | 2018-06-12 |
1457854549 | Ursula Schanne | Massage Therapist | 10501 Creek St Se Ste 7, Yelm, WA 98597 | 2018-03-14 |
1215449079 | Kaylee Jean Cook | Occupational Therapy Assistant | 107 1st Street Ne, Yelm, WA 98597 | 2017-11-01 |
1740705615 | Heather Anne Ervine | Physical Therapy Assistant | 14809 89th Ave Se, Yelm, WA 98597 | 2017-08-11 |
1679014559 | Beverly Dunford | Massage Therapist | 404 1st St S Ste. H, Yelm, WA 98597 | 2017-03-13 |
1740735158 | Amanda Kroboth | Speech-Language Pathologist | 16535 110th Ave Se, Yelm, WA 98597 | 2016-08-16 |
1134587090 | Lopaka Thanh Son Los Banos | Massage Therapist | 35617 Wa-507, Yelm, WA 98597 | 2016-02-08 |
1629472816 | Michelle Louise Punzel | Registered Nurse | 202 Stevens Ave Nw, Yelm, WA 98597 | 2014-10-16 |
1386074581 | Bobbi J Ashley | Counselor | 202 Cullens Rd, Yelm, WA 98597 | 2013-11-25 |
1295008100 | Trina Baggett | Doula | 21618 N Clearlake Blvd Se, Yelm, WA 98597 | 2012-02-23 |
Find all providers in zip 98597 |
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 |
---|---|---|---|---|
1457854549 | Ursula Schanne | Massage Therapist | 10501 Creek St Se Ste 7, Yelm, WA 98597 | 2018-03-14 |
1679014559 | Beverly Dunford | Massage Therapist | 404 1st St S Ste. H, Yelm, WA 98597 | 2017-03-13 |
1740727924 | Angela Clooney | Massage Therapist | 16725 123rd Ave Se, Yelm, WA 98597-9205 | 2017-01-25 |
1437607421 | Ami Butler | Massage Therapist | 17223 Carwilliam Ln, Yelm, WA 98597-9623 | 2016-09-19 |
1134587090 | Lopaka Thanh Son Los Banos | Massage Therapist | 35617 Wa-507, Yelm, WA 98597 | 2016-02-08 |
1699155424 | Sara Ward | Massage Therapist | 9132 Bridge Rd Se, Yelm, WA 98597-9687 | 2015-06-06 |
1932597887 | Melanie Carlson | Massage Therapist | 14323 Solberg Rd Se, Yelm, WA 98597-9178 | 2014-12-30 |
1730589714 | Rachel Anderson | Massage Therapist | 22025 Piessner Rd Se, Yelm, WA 98597-7911 | 2014-08-27 |
1376897058 | Melody Amber Scharfe | Massage Therapist | 9131 Mountain View Rd Se, Yelm, WA 98597-9451 | 2012-11-02 |
1437402773 | Iris Harrison | Massage Therapist | 16804 Sorbus Ct Se, Yelm, WA 98597-9408 | 2012-10-24 |
Find all providers in YELM |
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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.