SUTTON CHIROPRACTIC AND MASSAGE PS (NPI# 1699822973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699822973 |
Entity Type | Organization |
Organization Name | SUTTON CHIROPRACTIC AND MASSAGE PS |
Practice Address |
1518 Bishop Rd Sw Tumwater WA 98512-7354 |
Practice Telephone | 3609235588 |
Practice Fax Number | 3609159815 |
Mailing Telephone | 3609235588 |
Mailing Fax Number | 3609159815 |
Enumeration Date | 2007-01-05 |
Last Update Date | 2015-01-23 |
Authorized Official Name | DR. MARK F SUTTON (PRESIDENT) |
Authorized Official Telephone | 3609235588 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CH00002911 | WA | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | MEDICARE PTAN | G11500076 | 01 |
Street Address |
1518 BISHOP RD SW |
City | TUMWATER |
State | WA |
Zip Code | 98512-7354 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699242982 | Anthony Rodriguez Dc Pllc | Chiropractor | 1518 Bishop Rd Sw, Tumwater, WA 98512-7354 | 2018-10-25 |
1053868505 | Caleb A Schaefer | Registered Nurse | 1518 Bishop Rd Sw, Tumwater, WA 98512-7354 | 2016-09-01 |
1811361744 | Kyle Brown | Massage Therapist | 1518 Bishop Rd Sw, Tumwater, WA 98512-7354 | 2015-11-16 |
1376928200 | Victoria Hall | Specialist | 1518 Bishop Rd Sw, Tumwater, WA 98512-7354 | 2015-07-21 |
1639579410 | Bridgette Hennessy | Massage Therapist | 1518 Bishop Rd Sw, Tumwater, WA 98512-7354 | 2014-08-28 |
1548569429 | Mark Khai Lam | Chiropractor | 1518 Bishop Rd Sw, Tumwater, WA 98512-7354 | 2011-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
Find all providers in zip 98512 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417592635 | Chelsie Marie Still | Chiropractor | Tumwater Chiropractic Center Ps, 128 D St Sw Ste A, Tumwater, WA 98501-4064 | 2019-11-12 |
1124340419 | Anthony Rodriguez | Chiropractor | 1518 Bishop Rd Sw # 11, Tumwater, WA 98512-7354 | 2010-02-27 |
1205076882 | Action Chiropractic Care LLC | Chiropractor | 284 Lee St Sw, Suite 128, Tumwater, WA 98501-4403 | 2009-02-23 |
1811187651 | David Michael Hyatt | Chiropractor | 6334 Littlerock Rd Sw #101, Tumwater, WA 98512 | 2007-07-27 |
1659578516 | Tumwater Chiropractic Center Ps | Chiropractor | 128 D St Sw Ste A, Tumwater, WA 98501-4064 | 2007-07-02 |
1720281314 | Randall Wayne Cole | Chiropractor | 301 Lee St Sw, Suite A, Tumwater, WA 98501-4444 | 2007-06-09 |
1932238078 | Frank Matthew Russell | Chiropractor | 3948b Cleveland Ave Se, Tumwater, WA 98501-4023 | 2007-03-05 |
1033256987 | Terry E. Swartling | Chiropractor | 121 Cleveland Ave Se, Tumwater, WA 98501-4001 | 2007-01-31 |
1689730889 | Mary Roxanne Schmidt | Chiropractor | 310 Cleveland Ave Se, Tumwater, WA 98501-3310 | 2006-12-29 |
1841354420 | Family Chiropractic | Chiropractor | 204 Pinehurst Drive Sw, #103, Tumwater, WA 98501 | 2006-12-20 |
Find all providers in TUMWATER |
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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.