MS. CHERYL BLOXAM (NPI# 1750421491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750421491 |
| Entity Type | Individual |
| Full Name | MS. CHERYL BLOXAM |
| Other Name | SHERRY BLOXAM |
| Credential | LMP |
| Practice Address |
411 Summit Ave Northport WA 99157-0483 |
| Mailing Address |
Po Box 483 Northport WA 99157-0483 |
| Practice Telephone | 5097324040 |
| Mailing Telephone | 5097324040 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA12423 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
411 SUMMIT AVE |
| City | NORTHPORT |
| State | WA |
| Zip Code | 99157-0483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173761 | Janet Lecture | Day Training/Habilitation Specialist | 3590 Highway 25 N, Northport, WA 99157 | 2013-10-23 |
| 1437183738 | Northport School District | Local Education Agency (LEA) | 404 10th Street, Northport, WA 99157 | 2006-07-10 |
| 1649313065 | Jarre L Jarrett | Physician Assistant | 411 Summit, Northport, WA 99157 | 2007-02-15 |
| 1316994247 | New Health Programs Association | Clinic/Center | 411 Summit, Northport, WA 99157-0178 | 2006-05-27 |
| 1528586500 | Tameika Renee Shackleford | Massage Therapist | 320 Center Ave, Suite C, Northport, WA 99157-9731 | 2017-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396867 | Colette S Peters | Social Worker | 300 59th St, Northport, AL 35473-7445 | 2020-11-05 |
| 1225637929 | Jessica Lynn Bogucki | Pharmacist | 5324 Bristolwood Cir, Northport, AL 35475-5938 | 2020-10-22 |
| 1669070009 | Mae Rose Tyson | Speech-Language Pathologist | 3630 Northbrook Dr Ste D, Northport, AL 35473-5804 | 2020-10-16 |
| 1104432152 | Christopher Allen Jones | Military Health Care Provider | 14019 Firehouse Rd, Northport, AL 35475-3408 | 2020-09-16 |
| 1962017160 | Erin Guffey | Counselor | 12750 Mill Creek Dr, Northport, AL 35473-7882 | 2020-09-14 |
| 1457966087 | Tusk Mobility | Durable Medical Equipment & Medical Supplies | 1000 Union Chapel Rd E # 14, Northport, AL 35473-7615 | 2020-09-10 |
| 1164035341 | William M Colburn Dmd PC | Clinic/Center | 2810 20th Ave Ste A, Northport, AL 35476-3835 | 2020-08-26 |
| 1780295600 | Rose Michell Lebrun | Licensed Practical Nurse | 26 Jefferson Ave, Northport, NY 11768-3055 | 2020-08-13 |
| 1861002396 | Lacedric Crawford | Chore Provider | 13055 Garden Creek Lane, Northport, AL 35473 | 2020-08-10 |
| 1649880352 | Austin Thomas Stack | Physician Assistant | 15 Monroe St, Northport, NY 11768-1901 | 2020-08-06 |
| Find all providers in NORTHPORT | ||||
| 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 |
|---|---|---|---|---|
| 1861017618 | William Arnold Askew | Massage Therapist | 720 Energy Center Blvd Ste 506, Northport, AL 35473-2794 | 2020-06-08 |
| 1306314083 | Jannette Lanigan | Massage Therapist | 10 Fort Salonga Rd, Northport, NY 11768-1465 | 2018-11-11 |
| 1386154607 | Laurel Ann Kasindorf | Massage Therapist | 791 Fort Salonga Rd, Northport, NY 11768-3150 | 2017-10-02 |
| 1528586500 | Tameika Renee Shackleford | Massage Therapist | 320 Center Ave, Suite C, Northport, WA 99157-9731 | 2017-08-30 |
| 1003391665 | Maria Jean Mirissis | Massage Therapist | 10 Fort Salonga Rd Ste 2a, Northport, NY 11768-1465 | 2018-09-30 |
| 1821575408 | Alyssa Glica | Massage Therapist | 10 Fort Salonga Rd Ste 2a, Northport, NY 11768-1465 | 2018-07-25 |
| 1245526912 | Christine M Spanbauer | Massage Therapist | 40 Main St, Northport, NY 11768-1722 | 2011-06-21 |
| 1033436043 | The Bodysattva | Massage Therapist | 281 Main St, Northport, NY 11768-1771 | 2010-04-29 |
| 1467689380 | Shana Lee Levin | Massage Therapist | 281 Main St, Northport, NY 11768-1771 | 2009-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346177 | Franco Garibaldi | Massage Therapist | 8120 378th Ave Se, Snoqualmie, WA 98065-9338 | 2020-11-06 |
| 1073114815 | Michael Paul Frietze | Massage Therapist | 519 Sw Cascade Ave, Chehalis, WA 98532-3213 | 2020-11-06 |
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1912508094 | Catelyn Renee Wesley | Massage Therapist | 211 Marty Loop, Woodland, WA 98674-7223 | 2020-11-04 |
| 1154922250 | Wanju S Kellams | Massage Therapist | 677 Woodland Square Loop Se # A-8, Lacey, WA 98503-1000 | 2020-11-04 |
| 1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
| 1063013332 | Andrea L Yu | Massage Therapist | 7207 265th St Nw Ste 102, Stanwood, WA 98292-6274 | 2020-11-03 |
| 1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
| 1255931994 | Lotus Lounge Corporation | Massage Therapist | 200 Auburn Ave Ste 3, Auburn, WA 98002-5015 | 2020-10-30 |
| 1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
| 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.