CREEK MONTANA DISTELRATH (NPI# 1871011718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871011718 |
| Entity Type | Individual |
| Full Name | CREEK MONTANA DISTELRATH |
| Credential | LMTP |
| Practice Address |
15412 E Sprague Ave Ste 8 Spokane Valley WA 99037-8841 |
| Practice Telephone | 5099289098 |
| Mailing Telephone | 5099289098 |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 N Locust Rd Apt C236, Spokane Valley, WA 992066826 | 5096080365 |
| Street Address |
15412 E SPRAGUE AVE STE 8 |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99037-8841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750342143 | Brian Michael Scherr | Physical Therapist | 15412 E Sprague Ave Ste 8, Spokane Valley, WA 99037-8841 | 2006-03-28 |
| 1205477692 | Georgia N Norg | Massage Therapist | 15412 E Sprague Ave Ste 8, Spokane Valley, WA 99037-8841 | 2019-10-07 |
| 1760043848 | Shannon Weiss | Massage Therapist | 15412 E Sprague Ave Ste 8, Spokane Valley, WA 99037-8841 | 2019-06-27 |
| 1356909410 | Patrick Michael Stewart | Massage Therapist | 15412 E Sprague Ave Ste 8, Spokane Valley, WA 99037-8841 | 2019-06-04 |
| 1932612868 | Dillan J Gemmell | Massage Therapist | 15412 E Sprague Ave Ste 8, Spokane Valley, WA 99037-8841 | 2017-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364143 | Lighthouse Pt & Sports Medicine | Physical Medicine & Rehabilitation | 15413 E Valleyway, Building B-200, Spokane Valley, WA 99037 | 2020-10-23 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1639542061 | Timothy Richards | Physical Therapist | 15413 E Valleyway Ave, Spokane Valley, WA 99037 | 2015-11-06 |
| 1790055671 | Mark Miles Elmore | Counselor | 1120 N. Pines Rd, Suite C, Spokane Valley, WA 99037 | 2012-01-09 |
| 1578849402 | Gary Jack Schwander | Massage Therapist | 15404 E. Springfield Ave, Suite 100, Spokane Valley, WA 99037 | 2011-10-24 |
| 1811296189 | Jolee P Karr | Physical Therapy Assistant | 15425 E. Mission Ave, Spokane Valley, WA 99037 | 2011-03-25 |
| 1225369564 | Freedomcare of Wa, LLC | In Home Supportive Care | 13120 E 14th Ave, Spokane Valley, WA 99037 | 2010-01-27 |
| 1649507229 | Tiffany Ann Vanderpool | Massage Therapist | 325 S. Sullivan Rd, Spokane Valley, WA 99037 | 2009-11-03 |
| 1104059674 | Rachael Patricia Leonard | Massage Therapist | 325 S. Sullivan, Suite E, Spokane Valley, WA 99037 | 2009-08-31 |
| 1942432638 | Elements Therapeutic Massage-valley | Massage Therapist | 325 S Sullivan, Suite B, Spokane Valley, WA 99037 | 2009-08-14 |
| Find all providers in zip 99037 | ||||
| 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 |
|---|---|---|---|---|
| 1295345346 | Michael Frederick Jackson | Massage Therapist | 12702 E 33rd Ct, Spokane Valley, WA 99206-8372 | 2020-08-04 |
| 1669081246 | Kathryn Arlene Nicholas | Massage Therapist | 18609 E Maxwell Ave, Spokane Valley, WA 99016-8538 | 2020-07-29 |
| 1891328647 | Benjamin Stockton Gaines | Massage Therapist | 13701 E Sprague Ave Ste B417w1, Spokane Valley, WA 99216-0811 | 2020-02-20 |
| 1386276582 | Tawny S Bolding | Massage Therapist | 8923 E Mission Ave, Spokane Valley, WA 99212-2533 | 2020-02-06 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356991764 | Andrea Moore | Massage Therapist | 12308 E Broadway Ave Ste 4, Spokane Valley, WA 99216-2920 | 2019-09-17 |
| 1538628920 | Luke Andrew Kagarice | Massage Therapist | 11717 E Mission Ave, Spokane Valley, WA 99206-4829 | 2019-03-15 |
| 1710482914 | Megan Renee Diaz | Massage Therapist | 3002 N Woodruff Rd, Spokane Valley, WA 99206-4357 | 2018-03-28 |
| 1750889580 | Melissa Lerai Lunsford | Massage Therapist | 1212 N Argonne Rd, Spokane Valley, WA 99212 | 2018-01-26 |
| 1548775638 | Ashlyn Kaye Green | Massage Therapist | 826 N Mullan Rd Ste A, Spokane Valley, WA 99206-4094 | 2017-12-11 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99037 |
Please comment or provide details below to improve the information on CREEK MONTANA DISTELRATH.
| 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.