KYAN SHAFFNER (NPI# 1710396288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710396288 |
| Entity Type | Individual |
| Full Name | KYAN SHAFFNER |
| Credential | MA |
| Practice Address |
19586 10th Ave Ne Suite 100 Poulsbo WA 98370 |
| Mailing Address |
4060 Dyes Inlet Rd Nw Bremerton WA 98312-1445 |
| Practice Telephone | 3606972122 |
| Mailing Telephone | 3605362091 |
| Enumeration Date | 2014-08-08 |
| Last Update Date | 2014-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60370112 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
19586 10TH AVE NE SUITE 100 |
| City | POULSBO |
| State | WA |
| Zip Code | 98370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760987853 | Maksym Bilan | Massage Therapist | 19586 10th Ave Ne, Poulsbo, WA 98370-7332 | 2018-03-29 |
| 1891149266 | Scott Salo | Chiropractor | 19586 10th Ave Ne, Suite 100, Poulsbo, WA 98370-7332 | 2016-04-21 |
| 1700262037 | Smartspeidel LLC | Chiropractor | 19586 10th Ave Ne, Ste 100, Poulsbo, WA 98370-7332 | 2015-08-10 |
| 1992198113 | Stephen D. Speidel Nd, PC | Chiropractor | 19586 10th Ave Ne, Suite 100, Poulsbo, WA 98370-7332 | 2015-03-12 |
| 1881008621 | Stephen D. Speidel N.d., PC | Naturopath | 19586 10th Ave Ne, Unit 160, Poulsbo, WA 98370 | 2014-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324010 | Francie Corinn Edens | Massage Therapist | 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 | 2020-01-03 |
| 1972155679 | Marcela Serocki | Massage Therapist | 18657 Wa-305, Suite 4, Poulsbo, WA 98370 | 2019-07-12 |
| 1508425943 | Ryan Brinton | Physical Therapist | Kitsap Physical Therapy and Sports Clinics, 19319 7th Ave Ne Ste 108, Poulsbo, WA 98370 | 2019-06-10 |
| 1598220816 | Naomi Whitney Orong | Massage Therapist | 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 | 2019-02-01 |
| 1043774953 | Maryanne Phillips Bellman | Physical Therapist | 442 Viewmont Ave, Poulsbo, WA 98370 | 2019-01-24 |
| 1285102293 | Andrea Sander | Registered Nurse | 19883 12th Ave Ne, Poulsbo, WA 98370 | 2018-11-07 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
| 1700304334 | Samantha Przybylek Gavinski | Nurse Practitioner | 19500 10th Ave Ne Suite 100, Poulsbo, WA 98370 | 2017-09-04 |
| 1285164327 | Johanna Taylor | Behavior Technician | 21786 Windmill Loop Nw, Poulsbo, WA 98370 | 2017-06-12 |
| 1568990554 | Eva Geurtsen | Physical Therapy Assistant | 19160 Front St, Poulsbo, WA 98370 | 2017-06-02 |
| Find all providers in zip 98370 | ||||
| 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 |
|---|---|---|---|---|
| 1063024412 | Raymond Graber | Massage Therapist | 19041 Front St Ne, Poulsbo, WA 98370-7354 | 2020-08-18 |
| 1841820453 | Olga Zhirnova | Massage Therapist | 19611 7th Ave Ne Ste 200, Poulsbo, WA 98370-7384 | 2020-01-22 |
| 1790324010 | Francie Corinn Edens | Massage Therapist | 225 Nw Lindvig Way Suite# 6, Poulsbo, WA 98370 | 2020-01-03 |
| 1972155679 | Marcela Serocki | Massage Therapist | 18657 Wa-305, Suite 4, Poulsbo, WA 98370 | 2019-07-12 |
| 1598220816 | Naomi Whitney Orong | Massage Therapist | 19068 Nw Jenson Way, Suite 4b, Poulsbo, WA 98370 | 2019-02-01 |
| 1821476631 | Angel Ritualo | Massage Therapist | 922 Winton Ln Nw, C, Poulsbo, WA 98370-9488 | 2015-05-13 |
| 1174931398 | Shaya Appleton | Massage Therapist | 19586 10th Ave, Suite 100, Poulsbo, WA 98370 | 2014-07-31 |
| 1427461458 | Tommie Mitchel Doran | Massage Therapist | 25233 Pioneer Way Nw, Poulsbo, WA 98370-9553 | 2014-06-06 |
| 1790196194 | Matthew Mccourry | Massage Therapist | 26774 Weaver Rd Nw, Poulsbo, WA 98370-9569 | 2014-05-19 |
| 1861814329 | Advanced Bodywork Therapy Inc | Massage Therapist | 19068 Nw Jensen Way, Suite 4b, Poulsbo, WA 98370 | 2014-01-17 |
| Find all providers in POULSBO | ||||
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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.