KIVA THERAPEUTICS LLC (NPI# 1700308673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700308673 |
| Entity Type | Organization |
| Organization Name | KIVA THERAPEUTICS LLC |
| Other Organization Name | KIVA THERAPEUTICS MASSAGE & DAY SPA |
| Practice Address |
168 Rosemary Loop Ste 1 Priest Lake ID 83856-5023 |
| Mailing Address |
2442 Nw Market St Seattle WA 98107-4137 |
| Practice Telephone | 2089461226 |
| Mailing Telephone | 2089461226 |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |
| Authorized Official Name | JENNIFER EGGERS (OWNER) |
| Authorized Official Telephone | 2089461226 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Kiva Therapeutics Massage & Day Spa | Doing Business As Name - Organization |
| Street Address |
168 ROSEMARY LOOP STE 1 |
| City | PRIEST LAKE |
| State | ID |
| Zip Code | 83856-5023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950750 | Jill Willett | Pharmacist | 5453 Us Hwy 2, Priest River, ID 83856 | 2020-10-19 |
| 1104316785 | Pend Oreille Vision Care | Clinic/Center | 6132 Highway 2, Priest River, ID 83856 | 2018-05-18 |
| 1700209061 | Sequel Alliance Family Services, LLC | Counselor | 5486 Highway 2 Ste102, Priest River, ID 83856 | 2014-01-22 |
| 1801035878 | Albeni-selkirk Counseling Services | Community/Behavioral Health | 310 Albeni Rd., Ste. B, Priest River, ID 83856 | 2009-02-13 |
| 1679764898 | Healing Partners Equestrian Program | Community/Behavioral Health | 1605 Hoodoo Mt. Road, Priest River, ID 83856 | 2007-08-05 |
| 1710191796 | Delores Dianne Miller | Massage Therapist | 208 9th, Priest River, ID 83856 | 2007-05-09 |
| 1639382419 | Ken Miller | Massage Therapist | 208 Ninth St, Priest River, ID 83856 | 2007-05-08 |
| 1861619520 | Alliance Family Services North, Inc. | Community/Behavioral Health | 5486 Highway 2, Ste. 102, Priest River, ID 83856 | 2007-04-20 |
| 1376681460 | Lynne Anne Certain | Counselor | 301 Albeni Rd., Suite C, Priest River, ID 83856 | 2007-02-02 |
| 1093702227 | Richard Allan De Blaquiere | Pharmacist | 5453 Highway 2, Priest River, ID 83856 | 2005-10-03 |
| Find all providers in zip 83856 | ||||
| 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 |
|---|---|---|---|---|
| 1134726920 | Amber Carvajal | Massage Therapist | 5100 W Golden Ave, Rathdrum, ID 83858-6905 | 2020-10-05 |
| 1467069468 | Joanna Patricia Downer | Massage Therapist | 2596 N Stokesberry Pl Ste 130, Meridian, ID 83646-6087 | 2020-09-24 |
| 1194330720 | Unwind Spa Incorporated | Massage Therapist | 203 E Lake St, Mccall, ID 83638-3838 | 2020-09-10 |
| 1912517525 | Heidi Burk | Massage Therapist | 206 E Indiana Ave Ste 116, Coeur D Alene, ID 83814-2969 | 2020-08-07 |
| 1285243865 | Kebbie Wheeler | Massage Therapist | 625 W Pacific St Ste 5, Blackfoot, ID 83221-2034 | 2020-07-29 |
| 1588288344 | Elizabeth S Rogers-buuck | Massage Therapist | 5333 W Franklin Rd Ste C, Boise, ID 83705-1119 | 2020-06-07 |
| 1396369781 | Tina Marie Wright | Massage Therapist | 38 Mores Creek Cir, Boise, ID 83716-3026 | 2020-06-02 |
| 1902429020 | Joline Elizabeth Genay-wolf | Massage Therapist | 219 Cedar St Ste B, Sandpoint, ID 83864-1460 | 2020-05-22 |
| 1669094348 | Lisa Marie Piscopo | Massage Therapist | 4940 E Mill Station Dr, Boise, ID 83716-8628 | 2020-05-15 |
| 1790306751 | Nova Orion Layton | Massage Therapist | 1315 Highway 2, Sandpoint, ID 83864-2724 | 2020-04-30 |
| Find all providers with the same taxonomy | ||||
| City | PRIEST LAKE |
| Zip Code | 83856 |
Please comment or provide details below to improve the information on KIVA THERAPEUTICS LLC.
| 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.