COLLEEN K DEVERAUX (NPI# 1669592937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669592937 |
| Entity Type | Individual |
| Full Name | COLLEEN K DEVERAUX |
| Credential | LMP |
| Practice Address |
16720 Se 271st St Ste 200 Covington WA 98022 |
| Mailing Address |
26837 Maple Valley Hwy #200 Maple Valley WA 98038 |
| Practice Telephone | 2536305808 |
| Practice Fax Number | 2536306438 |
| Mailing Telephone | 4254134427 |
| Mailing Fax Number | 4254134429 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00014516 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
16720 SE 271ST ST STE 200 |
| City | COVINGTON |
| State | WA |
| Zip Code | 98022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366522294 | Affordable Dental Care | Dentist | 16720 Se 271st St, Suite 211, Covington, WA 98042 | 2006-10-16 |
| 1649634643 | Steven L Paige Dds & Leroy Horton Dds Covington - Pllc | Dentist | 16720 Se 271st St, Suite 211, Covington, WA 98042-7342 | 2016-04-06 |
| 1689081564 | Lydia Christianson | Physical Therapist | 16720 Se 271st St, Suite 200, Covington, WA 98042-7342 | 2014-07-12 |
| 1396173613 | Richelle Gardner | Massage Therapist | 16720 Se 271st St, Ste 200, Covington, WA 98042-7342 | 2013-10-23 |
| 1891073540 | Luyen P Jones | Massage Therapist | 16720 Se 271st St, Suite 200, Covington, WA 98042-7342 | 2011-07-29 |
| 1285928994 | Jullian R. Burton | Massage Therapist | 16720 Se 271st St, Suite 203, Covington, WA 98042-7342 | 2011-05-31 |
| 1265617559 | Elizabeth A Warner Md Inc Ps | Psychiatry & Neurology | 16720 Se 271st St, Suite 202, Covington, WA 98042-7342 | 2008-01-04 |
| 1417085390 | Evafaye Dee Hiatt | Nurse Practitioner | 16720 Se 271st St, Suite 202, Covington, WA 98042-7342 | 2007-03-01 |
| 1992840656 | Jere' L. Slingerland, Lcsw.inc | Social Worker | 16720 Se 271st St, Suite 202, Covington, WA 98042-7342 | 2007-02-20 |
| 1467519975 | Elizabeth Ann Warner | Psychiatry & Neurology | 16720 Se 271st St, Suite 202, Covington, WA 98042 | 2007-01-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558993725 | Megan's Massage and Esthetics LLC | Massage Therapist | 709 Griffin Ave, Enumclaw, WA 98022 | 2020-02-06 |
| 1154883494 | Nicola Given | Registered Nurse | 1818 Cole Street, Enumclaw, WA 98022 | 2019-04-04 |
| 1770099988 | Christopher P Koontz, Dds, Ps | Dentist | 2617 Griffin Ave, Enumclaw, WA 98022 | 2017-12-26 |
| 1487050977 | Hunter Chlebowski | Massage Therapist | 1453 Chinook Ave., Enumclaw, WA 98022 | 2014-11-10 |
| 1194156257 | James Kraft Symonds | Family Medicine | 1605 Washington Ave, Enumclaw, WA 98022 | 2013-11-27 |
| 1508209420 | Terri Lynn Kilbourne | Specialist | 1710 Railroad Street, Enumclaw Day Spa, Enumclaw, WA 98022 | 2013-04-10 |
| 1679824783 | Cortney Lauren Adams | Massage Therapist | 1156 Griffin Ave, Suite 209, Enumclaw, WA 98022 | 2012-09-28 |
| 1477828226 | Chella Bear Plastiras | Speech-Language Pathologist | 275 Peterson Drive East, Enumclaw, WA 98022 | 2012-03-13 |
| 1003186693 | Travis David Burt | Specialist | 1838 Porter St, Enumclaw, WA 98022 | 2012-01-12 |
| 1740590884 | Justin Andrew Bergstrom | Chiropractor | 2627 Griffin Ave., Enumclaw, WA 98022 | 2010-10-07 |
| Find all providers in zip 98022 | ||||
| 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 |
|---|---|---|---|---|
| 1609489640 | Hua Wang | Massage Therapist | 27641 Covington Way Se, Ste 1, Covington, WA 98042 | 2020-08-28 |
| 1851947956 | Kelsey Fielder | Massage Therapist | 17307 Se 272nd St Ste 142, Covington, WA 98042-5304 | 2019-08-14 |
| 1740841113 | Ayrton T Ibarra | Massage Therapist | 17615 Se 272nd St Ste 104, Covington, WA 98042-4957 | 2019-06-25 |
| 1114496700 | Darlene Michelle Firmin | Massage Therapist | 54 Bleu Lake Dr, Covington, LA 70435-8407 | 2018-11-13 |
| 1083195689 | Ruth Wanjiru Njenga | Massage Therapist | 19641 Se 259th St, Covington, WA 98042-5045 | 2018-08-22 |
| 1164912853 | Premier Therapeutics, LLC | Massage Therapist | 827 W 22nd Ave, Covington, LA 70433-1433 | 2018-05-17 |
| 1689161200 | Kelly Elizabeth Mcgee | Massage Therapist | 522 N New Hampshire St Spc 9, Covington, LA 70433-2843 | 2018-04-19 |
| 1982110755 | April Marie Reynolds | Massage Therapist | 25834 158th Ave Se, Covington, WA 98042-8288 | 2017-12-15 |
| 1053831313 | Candy Colley Welch | Massage Therapist | 503 N Columbia St, Covington, LA 70433-2921 | 2017-06-27 |
| 1730625286 | Kevin Brown | Massage Therapist | 222 N Vermont St Ste J, Covington, LA 70433 | 2017-01-09 |
| Find all providers in COVINGTON | ||||
Please comment or provide details below to improve the information on COLLEEN K DEVERAUX.
| 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.