DEENA Y GERASIMOV (NPI# 1669919551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669919551 |
| Entity Type | Individual |
| Full Name | DEENA Y GERASIMOV |
| Practice Address |
14415 74th Street Ct E Sumner WA 98390-8274 |
| Practice Telephone | 2532458914 |
| Mailing Telephone | 2532458914 |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60689818 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MA60689818 | 05 |
| Street Address |
14415 74TH STREET CT E |
| City | SUMNER |
| State | WA |
| Zip Code | 98390-8274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669996211 | Michael Johnson-money | Pharmacist | 20904 Highway-410, Bonney Lake, WA 98390 | 2017-07-26 |
| 1295150498 | Sound Associates Western Washington LLC | Hearing Instrument Specialist | 15324 Main St. E, Ste. B, Sumner, WA 98390 | 2014-02-25 |
| 1811330129 | Callie Leah Macleod | Student in an Organized Health Care Education/Training Program | 5805 Parker Rd, Sumner, WA 98390 | 2013-04-17 |
| 1699020388 | Alex George Wardle | Pharmacist | 20901 Highway 410, Bonney Lake, WA 98390 | 2012-07-18 |
| 1417102112 | Laura Christine Vandyk | Dentist | 1006 C Fryar Ave, Sumner, WA 98390 | 2008-11-21 |
| 1164631248 | Jeff Lee Sisco | Massage Therapist | 21157 State Route 410, Bonney Lake, WA 98390 | 2007-05-22 |
| 1215053764 | Assisted Living Concepts Inc | Assisted Living Facility | 5713 Parker Road, Sumner, WA 98390 | 2007-03-22 |
| 1518007350 | Julie Bush Webster | Marriage & Family Therapist | 920 Alder Avenue, Suite 203, Sumner, WA 98390 | 2007-02-08 |
| 1154478014 | Bonney Lake Optical, Inc | Durable Medical Equipment & Medical Supplies | 21221 Hwy 410, Bonney Lake, WA 98390 | 2007-01-04 |
| 1437248986 | Christopher John Nielsen | Dentist | 3106-e Sumner-tapps Hwy E, Sumner, WA 98390 | 2006-10-12 |
| Find all providers in zip 98390 | ||||
| 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 |
|---|---|---|---|---|
| 1013398163 | Miranda Blythe Lucker | Massage Therapist | 5220 Parker Rd E, Sumner, WA 98390-2715 | 2015-06-15 |
| 1255746111 | Tia Holcom | Massage Therapist | 5917 164th Ave Ct E, Sumner, WA 98390-3031 | 2014-06-30 |
| 1497187611 | Puyallup Integrative Massage LLC | Massage Therapist | 823 W Main St Ste 6, Sumner, WA 98390-1151 | 2013-07-31 |
| 1780024935 | Danielle Dee Kinser | Massage Therapist | 1203 Ryan Ave, Sumner, WA 98390-1913 | 2013-07-02 |
| 1629383666 | Jacquilynn D Williams | Massage Therapist | 1720 Valley Ave E, A3, Sumner, WA 98390-3242 | 2010-08-14 |
| 1932429388 | Lori Jeanine Landry | Massage Therapist | 16009 60th St E Ste C, Sumner, WA 98390-3013 | 2010-06-08 |
| 1184885089 | Justine Lorraine Allen | Massage Therapist | 5106 Parker Rd E, #c, Sumner, WA 98390-2852 | 2008-06-23 |
| 1376716696 | Tarnya Marie Constantino | Massage Therapist | 595 Bonney Rd, Sumner, ME 04292-4008 | 2008-04-08 |
| 1104036037 | Kristin Marie Higgins | Massage Therapist | 15404 Main St E, Sumner, WA 98390-2642 | 2007-05-22 |
| 1689723975 | Theresa J Fremont | Massage Therapist | 1117 .5 Main St, Sumner, WA 98390-1414 | 2007-01-09 |
| Find all providers in SUMNER | ||||
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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.