WALTER KOETKE (NPI# 1679188296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679188296 |
| Entity Type | Individual |
| Full Name | WALTER KOETKE |
| Practice Address |
411 5th St Montara CA 94037 |
| Mailing Address |
Po Box 370847 Montara CA 94037-0847 |
| Practice Telephone | 6509223108 |
| Mailing Telephone | 6509223108 |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 77213 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
411 5TH ST |
| City | MONTARA |
| State | CA |
| Zip Code | 94037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390615 | Michael Marshall | Massage Therapist | 199 2nd St, Montara, CA 94037 | 2020-09-09 |
| 1457824708 | Suzanne Stephanik | Social Worker | 725 Pedro Mt Rd, Montara, CA 94037 | 2019-01-09 |
| 1336632900 | Lillian Hansen | Psychologist | 1384 Birch St., 1384 Birch St., Montara, CA 94037 | 2018-06-08 |
| 1083782684 | Renata Brownbridge Apc | Social Worker | 347 14th Street, Montara, CA 94037 | 2006-12-01 |
| 1477514099 | Eric Charles Trefelner | Radiology | 102 12th Street, Montara, CA 94037 | 2006-03-31 |
| 1548409964 | Steven B Groubert | Optometrist | 215 9th St, Montara, CA 94037-0465 | 2009-02-09 |
| 1982004727 | Debbie Lloyd | Mechanotherapist | 1041 Cedar St., Montara, CA 94037-0707 | 2014-08-29 |
| 1366093478 | Rachel Young | Occupational Therapist | 1340 Cedar St, Montara, CA 94037-0861 | 2019-09-20 |
| 1285715797 | John Roumasset | Psychiatry & Neurology | 301 3rd Street, Montara, CA 94037-1041 | 2006-10-18 |
| 1134526783 | Coastside Convalescent Associates LLC | Assisted Living Facility | 1186 Acacia Street, Montara, CA 94037-1252 | 2014-11-25 |
| Find all providers in zip 94037 | ||||
| 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 |
|---|---|---|---|---|
| 1790390615 | Michael Marshall | Massage Therapist | 199 2nd St, Montara, CA 94037 | 2020-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1528669348 | Matthew P Martinez | Massage Therapist | 417 N Citrus Ave Apt 7, Escondido, CA 92027-2765 | 2020-11-06 |
| 1841891603 | Jenni Asher | Massage Therapist | 5425 1/2 Vantage Avenue, Valley Village, CA 91607 | 2020-11-06 |
| 1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
| 1023619079 | Reanna Whitnall | Massage Therapist | 9950 Campo Rd Ste 204, Spring Valley, CA 91977-1629 | 2020-11-05 |
| 1073114252 | Briana Hill | Massage Therapist | 2203 San Remo Cir, Vista, CA 92084-7727 | 2020-11-04 |
| 1770184954 | Michelle Ann Moeller | Massage Therapist | 5648 Oak Grove Ave, Oakland, CA 94618-1243 | 2020-11-04 |
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1194326553 | Suzanne Romero | Massage Therapist | 411 Alvarado St Apt 201, Monterey, CA 93940-2710 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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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.