BRYN BEZONA (NPI# 1841624392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841624392 |
| Entity Type | Individual |
| Full Name | BRYN BEZONA |
| Credential | LMP |
| Practice Address |
7056 Portal Way # R7 Ferndale WA 98248-8310 |
| Mailing Address |
Po Box 91 Custer WA 98240-0091 |
| Practice Telephone | 3603664216 |
| Practice Fax Number | 3603664241 |
| Mailing Telephone | 3603664216 |
| Mailing Fax Number | 3603664241 |
| Enumeration Date | 2013-09-01 |
| Last Update Date | 2013-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60404014 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WA STATE MASSAGE LICENSE NUMBER | MA60404014 | 01 |
| Street Address |
7056 PORTAL WAY # R7 |
| City | FERNDALE |
| State | WA |
| Zip Code | 98248-8310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316356835 | Satori Hanson | Massage Therapist | 7056 Portal Way # R7, Ferndale, WA 98248-8310 | 2014-08-08 |
| 1124453790 | Susan Candice Harrison | Acupuncturist | 7056 Portal Way # R7, Ferndale, WA 98248-8310 | 2013-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366050833 | Cascade Connections | In Home Supportive Care | 1354 Pacific Place, Suite 101, Ferndale, WA 98248 | 2020-07-21 |
| 1073135976 | Amrit Kaur | Respiratory Therapist, Certified | 6158 North Star Rd, Ferndale, WA 98248 | 2020-05-13 |
| 1437668563 | Marcie Ann Logan | Registered Nurse | 5661 Eagle Parkway, Apt. 4, Ferndale, WA 98248 | 2017-09-20 |
| 1215468640 | Crystal Dawn Phipps | Pharmacist | 5655 3rd Ave., Ferndale, WA 98248 | 2017-03-27 |
| 1295143568 | Marion L Winisky | Registered Nurse | 2350 Douglas Rd #40, Ferndale, WA 98248 | 2014-07-30 |
| 1225472186 | Loops Flexbrush, LLC | Durable Medical Equipment & Medical Supplies | 7152 Everett Rd, Ferndale, WA 98248 | 2013-04-23 |
| 1982984043 | Anthony Allen Gardiner | Dentist | 2030 Alder St, Ferndale, WA 98248 | 2011-08-22 |
| 1942592696 | Norman Tang | Pharmacist | 2057 Alder Street, Ferndale, WA 98248 | 2011-05-12 |
| 1316178692 | Linh T Vu | Dentist | 2086 Main St, Ferndale, WA 98248 | 2009-08-04 |
| 1770724965 | Michael Alexander Glen | Pharmacist | Haggen Food and Pharmacy, 1815 Main Street, Ferndale, WA 98248 | 2009-03-17 |
| Find all providers in zip 98248 | ||||
| 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 |
|---|---|---|---|---|
| 1952942419 | Dionne Stewart | Massage Therapist | 22741 Woodward Ave, Ferndale, MI 48220-1733 | 2019-10-04 |
| 1174164354 | Megan Good | Massage Therapist | 6264 Kona Ct, Ferndale, WA 98248-8364 | 2019-09-30 |
| 1700295763 | Lauren Reimer | Massage Therapist | 2121 Harksell Rd, Ferndale, WA 98248-9703 | 2014-08-04 |
| 1679990881 | Integral Medical Massage LLC | Massage Therapist | 393 Adams Ct, Ferndale, MI 48220-2423 | 2014-03-25 |
| 1760819080 | Arthur Chandler Baner | Massage Therapist | 7371 Woodland Rd, Ferndale, WA 98248-9742 | 2013-10-01 |
| 1396179206 | Cethanie Dare Kaster | Massage Therapist | 7056 Portal Way, #r7, Ferndale, WA 98248-8310 | 2013-08-27 |
| 1336490424 | Meghan K O'neill | Massage Therapist | 2076 Main St Ste 2, Ferndale, WA 98248-9468 | 2012-09-28 |
| 1689937328 | Essential Massage Therapy | Massage Therapist | 22941 Woodward Ave, Ferndale, MI 48220-1739 | 2012-06-18 |
| 1144586009 | Melisa Jensen | Massage Therapist | 2042 Oxford Ct, Ferndale, WA 98248-9378 | 2012-04-04 |
| 1053687822 | Kasandra Sasken | Massage Therapist | 2076 Main St # 4, Ferndale, WA 98248-9468 | 2012-03-27 |
| Find all providers in FERNDALE | ||||
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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.