LAUREL SHULL (NPI# 1679073928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679073928 |
| Entity Type | Individual |
| Full Name | LAUREL SHULL |
| Credential | LMP |
| Practice Address |
298 S. Main St. Suite 208 Colville WA 99114 |
| Practice Telephone | 5096847640 |
| Practice Fax Number | 5096847640 |
| Mailing Telephone | 5096847640 |
| Mailing Fax Number | 5096847640 |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2018-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60757377 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
298 S. MAIN ST. SUITE 208 |
| City | COLVILLE |
| State | WA |
| Zip Code | 99114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033774799 | Salamia Mikheyeva | Massage Therapist | 697 Gillette Rd., Colville, WA 99114 | 2019-05-07 |
| 1053897694 | Rochelle Diconti | Counselor | 358 E Birch Ave Ste 101, Colville, WA 99114 | 2018-07-17 |
| 1235638123 | Taylor Vanwicklen | Nurse's Aide | 165 E. Hawthorne Ave, Colville, WA 99114 | 2018-02-06 |
| 1932608833 | Sandra Ingram | Registered Nurse | 165 E. Hawthorne Avenue, Colville, WA 99114 | 2018-02-06 |
| 1831451350 | Catherine M Lochner | Occupational Therapist | 1366 Onion Creek Rd., Colville, WA 99114 | 2012-06-11 |
| 1245552215 | Georgia Rae Goot | Hearing Instrument Specialist | 519 S. Main St., Colville, WA 99114 | 2010-02-18 |
| 1801018619 | David W King | Counselor | 165 E Hawthorne Avenue, Colville, WA 99114 | 2007-05-02 |
| 1497976484 | Jack Darrell Esvelt | Dentist | 181 E 1st, Colville, WA 99114 | 2007-05-01 |
| 1730229709 | Carol H Leach | Registered Nurse | 982 E Columbia Ave Ste 201, Colville, WA 99114 | 2007-02-07 |
| 1679612766 | H Theresa Porter | Optometrist | 693 Hallerwood Way, Colville, WA 99114 | 2007-02-05 |
| Find all providers in zip 99114 | ||||
| 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 |
|---|---|---|---|---|
| 1033774799 | Salamia Mikheyeva | Massage Therapist | 697 Gillette Rd., Colville, WA 99114 | 2019-05-07 |
| 1245795764 | Malissa A Brockus | Massage Therapist | 344 N Main St Ste 106, Colville, WA 99114-2344 | 2019-02-08 |
| 1699220640 | Mary Aubert | Massage Therapist | 512 S Hofstetter St, Colville, WA 99114-3342 | 2016-08-19 |
| 1609179738 | Regina Driggs | Massage Therapist | 210 Aladdin Rd, Colville, WA 99114-9101 | 2010-12-11 |
| 1174673578 | Jillian Thorson-friedman | Massage Therapist | 298 S Main St Ste 201, Colville, WA 99114-2416 | 2007-01-10 |
| 1104468529 | Chrystal Haynes, LLC | Massage Therapist | 524 S Main St, Colville, WA 99114-2504 | 2019-10-17 |
| 1558920066 | Emily Lehman | Massage Therapist | 524 S Main St, Colville, WA 99114-2504 | 2019-06-08 |
| 1134630874 | John Michael Rich | Massage Therapist | 525 S Main St, Colville, WA 99114-2539 | 2017-10-21 |
| 1982151601 | Erin Lang | Massage Therapist | 512 S Hofstetter St, Colville, WA 99114-3342 | 2016-09-10 |
| 1093107096 | Tracie Colby | Massage Therapist | 144 E 1st Ave, Colville, WA 99114-2843 | 2015-02-27 |
| Find all providers in COLVILLE | ||||
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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.