NICOLE WIRTH (NPI# 1669683793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669683793 |
| Entity Type | Individual |
| Full Name | NICOLE WIRTH |
| Credential | L.M.P. |
| Practice Address |
11921 152nd Street Ct E Puyallup WA 98374-9715 |
| Practice Telephone | 2539061582 |
| Practice Fax Number | 2538411345 |
| Mailing Telephone | 2539061582 |
| Mailing Fax Number | 2538411345 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00015962 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548797368 | Nicole Wirth | Student in an Organized Health Care Education/Training Program | 2765 Dublin Dr, Bismarck, ND 58503-6433 | 2017-05-11 |
| 1114439585 | Nicole Wirth | Counselor | 2470 Mall Dr Unit Cd, North Charleston, SC 29406-6514 | 2017-10-25 |
| Street Address |
11921 152ND STREET CT E |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98374-9715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073173977 | Courtney Yant | Registered Nurse | 300 3rd St Se, Puyallup, WA 98374 | 2019-06-13 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| 1922524917 | Edith M Wood | Registered Nurse | 13517 152nd St Ct E, Puyallup, WA 98374 | 2017-08-21 |
| 1669875993 | Jillian C S Longway | Registered Nurse | 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 | 2014-10-01 |
| 1427302025 | Nadeem Jaffer | Internal Medicine | 3800 3rd St. Se, Puyallup, WA 98374 | 2012-11-04 |
| 1851605356 | Madigan Army Medical Ctr | Clinic/Center | 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 | 2010-07-27 |
| 1326368135 | Matt Karl Jahns | Massage Therapist | 2402 20th St Se, Puyallup, WA 98374 | 2010-06-03 |
| 1982833208 | Roxy Sturgeon | Speech-Language Pathologist | 2309 43rd Ave Se, Puyallup, WA 98374 | 2009-07-08 |
| 1497921191 | Morgan Counseling Services Inc. | Substance Abuse Rehabilitation Facility | 10312 120th Street East, Suite #3, Puyallup, WA 98374 | 2008-05-02 |
| 1700055795 | Walter Royal Patterson Jr. | Registered Nurse | 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 | 2008-02-25 |
| Find all providers in zip 98374 | ||||
| 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 |
|---|---|---|---|---|
| 1053941187 | Stephanie Farris | Massage Therapist | 18002 Lipoma Firs E Unit G104, Puyallup, WA 98374-9008 | 2020-01-16 |
| 1437793064 | Jessica Graham | Massage Therapist | 12515 Meridian E Ste 205, Puyallup, WA 98373-3436 | 2019-11-06 |
| 1265081566 | Karen Kay Briskey | Massage Therapist | 403 43rd Ave Sw Apt 1, Puyallup, WA 98373-5965 | 2019-09-09 |
| 1275181927 | Vicki Jeanette Just-schaefer | Massage Therapist | 1707 3rd St Se Ste A, Puyallup, WA 98372-4506 | 2019-08-27 |
| 1477113587 | Jessica Jaramillo, LLC | Massage Therapist | 16515 Meridian E Ste 103b, Puyallup, WA 98375-6252 | 2019-06-20 |
| 1013574763 | Jovante A Guerra | Massage Therapist | 18710 Meridian E Ste 117, Puyallup, WA 98375-2231 | 2019-05-28 |
| 1386208999 | Jessica Nicole Kongslie | Massage Therapist | 2015 Brookmonte Dr Se, Puyallup, WA 98372-5173 | 2019-04-29 |
| 1184189565 | Mermaid Cove Massage & Wellness, LLC | Massage Therapist | 812 E Main, Puyallup, WA 98372-3364 | 2019-02-10 |
| 1699249847 | Healing Hands With Heart | Massage Therapist | 12515 Meridian E Ste 201, Puyallup, WA 98373-3436 | 2019-01-21 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| Find all providers in PUYALLUP | ||||
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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.