JENNIFER JANZEN (NPI# 1760608087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760608087 |
| Entity Type | Individual |
| Full Name | JENNIFER JANZEN |
| Credential | LMP |
| Practice Address |
2207 N. Molter Rd. Sut. 250 Liberty Lake WA 99109 |
| Mailing Address |
4007 W. Hoffman Spokane WA 99204 |
| Practice Telephone | 5098939939 |
| Mailing Telephone | 5092630973 |
| Enumeration Date | 2007-04-17 |
| 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 | MA00022818 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR AND INDUSTRIES | 0219073 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639259286 | Jennifer Eve Janzen | Pediatrics | 7950 Drovers Ln, Abilene, TX 79602-5444 | 2006-10-17 |
| Street Address |
2207 N. MOLTER RD. SUT. 250 |
| City | LIBERTY LAKE |
| State | WA |
| Zip Code | 99109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609322528 | Providence Health & Services | In Home Supportive Care | 110 S. Third Street E., Chewelah, WA 99109 | 2016-08-31 |
| 1639525157 | Shelley Gail Schreibman | Specialist | 101 N Park Street, Po, Chewelah, WA 99109 | 2016-05-13 |
| 1518361831 | David Stroyan | Pharmacist | 518 E Clay, New Health Programs, Chewelah, WA 99109 | 2014-10-15 |
| 1942554712 | Renee S Thompson | Psychologist | 208 E Clay St, Chewelah, WA 99109 | 2012-11-01 |
| 1356616759 | Paul Michael Cockerham | Physical Therapist | 101 N. Park St., Chewelah, WA 99109 | 2012-03-19 |
| 1669768479 | Lori S King | Veterinarian | 1505 N Pinebrook Dr, Chewelah, WA 99109 | 2011-06-21 |
| 1619268281 | Providence Physician Services Co | Family Medicine | 100 W. South Ave Chewelah, Chewelah, WA 99109 | 2011-04-29 |
| 1245557917 | Providence Physician Services Co | Obstetrics & Gynecology | 518 Clay Street, Chewelah, WA 99109 | 2010-04-21 |
| 1033340088 | Scott Anthony Lake | Dentist | 616 E Main, Chewelah, WA 99109 | 2009-08-06 |
| 1659560787 | Robin D Bowman | Counselor | 2264 C. Sand Canyon Road, Chewelah, WA 99109 | 2007-10-15 |
| Find all providers in zip 99109 | ||||
| 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 |
|---|---|---|---|---|
| 1275177529 | Kristen Elizabeth Heacox | Massage Therapist | 24326 E Maxwell Ave, Liberty Lake, WA 99019-8633 | 2019-10-30 |
| 1053877563 | Lisa A Tarr | Massage Therapist | 1334 N Whitman Ln Ste 140, Liberty Lake, WA 99019-6034 | 2019-02-20 |
| 1255842134 | Jacklyn Rose Petretee | Massage Therapist | 24850 E Stonecrest Ave, Liberty Lake, WA 99019-3403 | 2017-10-18 |
| 1164932158 | Cyndi Rai | Massage Therapist | 23801 E Appleway Ave Ste 220, Liberty Lake, WA 99019-9687 | 2017-10-04 |
| 1548554710 | Matthew Bryant Delker | Massage Therapist | 1017 N Homestead Dr, Liberty Lake, WA 99019-8555 | 2011-06-06 |
| 1831323344 | Staci Wixom Jacobs | Massage Therapist | 1235 N Liberty Lake Rd, Suite 106, Liberty Lake, WA 99019-7581 | 2009-05-12 |
| 1346449089 | Sedonni Kaye Jones | Massage Therapist | 21200 E Country Vista Dr Apt I202, Liberty Lake, WA 99019-7681 | 2007-07-13 |
| 1700908803 | Shenae' M Dolan | Massage Therapist | 23801 E. Appleway, Liberty Lake, WA 99019 | 2007-04-06 |
| 1245871508 | Shenette Gamoyao Cross | Massage Therapist | 2207 N Molter Rd, Liberty Lake, WA 99019-7570 | 2019-10-07 |
| 1144791146 | Teagan Luckey | Massage Therapist | 2207 N Molter Rd Ste 250, Liberty Lake, WA 99019-7582 | 2018-12-17 |
| Find all providers in LIBERTY LAKE | ||||
| City | LIBERTY LAKE |
| Zip Code | 99109 |
Please comment or provide details below to improve the information on JENNIFER JANZEN.
| 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.