PEGGY ELAINE ERICKSON (NPI# 1821206186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821206186 |
| Entity Type | Individual |
| Full Name | PEGGY ELAINE ERICKSON |
| Other Name | PEGGY ELAINE BROACH |
| Credential | LMT |
| Practice Address |
314 E 4th Ellensburg WA 98926 |
| Practice Telephone | 5099254394 |
| Mailing Telephone | 5099254394 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 225700000X | Massage Therapist | MA00013808 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 224Z00000X | Occupational Therapy Assistant | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE L & I | 0154493 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487791851 | Peggy C Erickson | Social Worker | 319 Central Ave, Dunkirk, NY 14048-2137 | 2007-02-01 |
| Street Address |
314 E 4TH |
| City | ELLENSBURG |
| State | WA |
| Zip Code | 98926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407286214 | Sarah Rae | Occupational Therapist | 1050 E Mountian View Ave, Ellensburg, WA 98926 | 2013-11-14 |
| 1366885691 | Leslie-ann Fox I | Pharmacist | 521 East Mountain View Ave, Ellensburg, WA 98926 | 2013-04-17 |
| 1972877330 | Terri Lee Hughes | Pharmacist | 608 E Mountainview, Ellensburg, WA 98926 | 2012-03-02 |
| 1366716789 | Eiko Hama | Pharmacist | 608 E Mountain View, Ellensburg, WA 98926 | 2012-03-02 |
| 1689971228 | Carolyn Jeannette Brunk | Massage Therapist | 814 East 5th Avenue, Ellensburg, WA 98926 | 2011-02-17 |
| 1275862468 | Creekside Dental Ellensburg Pllc | Dentist | 2601 Triple L Loop, Ellensburg, WA 98926 | 2009-12-17 |
| 1659605038 | Michael Alan Patin | Pharmacist | 700 S. Main St., Ellensburg, WA 98926 | 2009-10-01 |
| 1538391040 | Brenden J Davis | Dentist | 1206 N Dolarway Rd Ste 208, Ellensburg, WA 98926 | 2009-08-17 |
| 1295951259 | Kenneth Francis Kladnik | Specialist/Technologist | 1711 E. Canterbury, Ellesnburg, WA 98926 | 2007-04-18 |
| 1295851731 | Assisted Living Concepts Inc | Assisted Living Facility | 1008 E Mountain View Avenue, Ellenburg, WA 98926 | 2007-03-22 |
| Find all providers in zip 98926 | ||||
| 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 |
|---|---|---|---|---|
| 1851919922 | Joann Tenney | Massage Therapist | 708 S Tamarack St, Ellensburg, WA 98926-3925 | 2020-07-06 |
| 1386151462 | Alexis Sequoia Marie Sewell | Massage Therapist | 208 N Anderson St, Ellensburg, WA 98926-3323 | 2018-01-10 |
| 1134666530 | Crystal Whitaker | Massage Therapist | 1206 N Dolarway Rd Ste 210a, Ellensburg, WA 98926-8392 | 2017-01-23 |
| 1043752025 | Chandler Shirey | Massage Therapist | 1100 E Brighton Loop, Apt #2503, Ellensburg, WA 98926-5428 | 2016-11-08 |
| 1588020937 | Oriel Keil | Massage Therapist | 502 N Ruby St, Ellensburg, WA 98926-3154 | 2016-01-14 |
| 1619356367 | Dawn Geula | Massage Therapist | 4031 Manastash Rd, Ellensburg, WA 98926-7829 | 2015-05-28 |
| 1073859120 | Stayce M Hale | Massage Therapist | 314 W Indiana Dr, Ellensburg, WA 98926-2552 | 2012-12-18 |
| 1770846438 | April S Sheeley | Massage Therapist | 2101 N Alder St Apt 24, Ellensburg, WA 98926-2272 | 2012-06-19 |
| 1619247087 | Erin Patrick Mcgee | Massage Therapist | 304 S Water St, Suite 103, Ellensburg, WA 98926-3617 | 2012-01-03 |
| 1821381823 | Wendy Rae Smith | Massage Therapist | 521 Double Creek Ln, Ellensburg, WA 98926-9179 | 2011-05-24 |
| Find all providers in ELLENSBURG | ||||
| City | ELLENSBURG |
| Zip Code | 98926 |
Please comment or provide details below to improve the information on PEGGY ELAINE ERICKSON.
| 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.