JESSICA THOR (NPI# 1720387525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720387525 |
| Entity Type | Individual |
| Full Name | JESSICA THOR |
| Other Name | JESSICA ANDERSON |
| Credential | LMT |
| Practice Address |
19102 State Route 410 E Ste A Bonney Lake WA 98391-8449 |
| Mailing Address |
19102 State Route 410 E. #a Bonney Lake WA 98391 |
| Practice Telephone | 2538636378 |
| Mailing Telephone | 2538636378 |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2012-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA 00019936 | WA | Other Service Providers |
| Street Address |
19102 STATE ROUTE 410 E STE A |
| City | BONNEY LAKE |
| State | WA |
| Zip Code | 98391-8449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396787164 | Errol Justin Medel | Chiropractor | 19102 State Route 410 E Ste A, Bonney Lake, WA 98391-8449 | 2006-06-13 |
| 1588188940 | Anastacia M Candazo | Massage Therapist | 19102 State Route 410 E Ste A, Bonney Lake, WA 98391-8449 | 2017-07-27 |
| 1619402625 | Trent A Tellier | Massage Therapist | 19102 State Route 410 E Ste A, Bonney Lake, WA 98391-8449 | 2017-04-27 |
| 1083825905 | Michael Gibbons | Massage Therapist | 19102 State Route 410 E Ste A, Bonney Lake, WA 98391-8449 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982218814 | Lenny Yann | Pharmacist | 21301 Wa 410, Bonney Lake, WA 98391 | 2020-09-08 |
| 1497244552 | Kayla Grasso | Technician, Other | 18444 139th Street East, Bonney Lake, WA 98391 | 2018-05-04 |
| 1407359151 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 9801 204th Ave E, Bonney Lake, WA 98391 | 2018-03-08 |
| 1992217152 | Rachel Renee Andringa | Massage Therapist | 19102 Wa-410, Bonney Lake, WA 98391 | 2017-10-27 |
| 1437679099 | Emily A. Hansen | Occupational Therapist | 12202 209th Ave Ct. E., Liberty Ridge Elementary School, Bonney Lake, WA 98391 | 2017-06-26 |
| 1245782986 | Advance Behavior Education Continuum, Inc | Behavioral Analyst | 2305 164th Ave Ct, Bonney Lake, WA 98391 | 2016-10-28 |
| 1619343191 | Lauren Christine Difolco | Specialist | 10920 199th Ave. Ct. E., Bonney Lake Hs, Bonney Lake, WA 98391 | 2015-08-19 |
| 1699018192 | Michael Nelson | Dentist | 2803 176th Ave East, Lake Tapps, WA 98391 | 2013-04-03 |
| 1700141066 | Jacqueline Nguyen | Pharmacist | 20025 State Route 410 E, Bonney Lake, WA 98391 | 2012-07-11 |
| 1265737860 | Braden Shingleton | Massage Therapist | 19102 Sr 410 E Suite A, Bonney Lake, WA 98391 | 2011-01-13 |
| Find all providers in zip 98391 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619343191 | Lauren Christine Difolco | Specialist | 10920 199th Ave. Ct. E., Bonney Lake Hs, Bonney Lake, WA 98391 | 2015-08-19 |
| 1841604543 | Kent Wong | Specialist | 10403 176th Ave E, Bonney Lake, WA 98391-5130 | 2014-06-20 |
| 1700056587 | Bonney Lake Medical Center | Specialist | 20631 Hwy 410 E., Ste 303, Bonney Lake, WA 98390-6390 | 2008-03-07 |
| 1568658508 | Lisa Lyn Barrientos-haase | Specialist | 21107 Sr 410 E., Bonney Lake, WA 98391 | 2007-09-24 |
| 1316158108 | Mary Ellen Pfeiffer | Specialist | 7621 171st Avenue Ct E, Bonney Lake, WA 98391-7169 | 2007-05-24 |
| 1992915037 | Sheila M Wiley | Specialist | 22430 Cedarview Dr E, Bonney Lake, WA 98391-7532 | 2007-05-23 |
| 1043341589 | Amanda Wilson | Specialist | 19950 S Prairie Rd E, Bonney Lake, WA 98391-7901 | 2007-03-08 |
| 1508908880 | Robert Wayne Long | Specialist | 10215 214th Ave E, Bonney Lake, WA 98391-3909 | 2007-02-13 |
| 1558327601 | Cascade Surgery Associates, Pllc | Specialist | 21525 Sr 410 E, Suite A, Bonney Lake, WA 98391-4190 | 2006-04-25 |
| 1063653277 | Melanie Moeller | Specialist | 19950 S Prairie Rd E, Bonney Lake, WA 98391-7901 | 2009-03-18 |
| Find all providers in BONNEY LAKE | ||||
| City | BONNEY LAKE |
| Zip Code | 98391 |
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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.