KREIDEL THERAPEUTIC MASSAGE (NPI# 1932393956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932393956 |
| Entity Type | Organization |
| Organization Name | KREIDEL THERAPEUTIC MASSAGE |
| Practice Address |
5825 221st Pl Se Ste 103 Issaquah WA 98027-8927 |
| Practice Telephone | 4258378802 |
| Practice Fax Number | 4258315696 |
| Mailing Telephone | 4258378802 |
| Mailing Fax Number | 4258315696 |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2007-09-03 |
| Authorized Official Name | KIMBERLY S KREIDEL-REIMER (OWNER) |
| Authorized Official Telephone | 4258378802 |
| Authorized Official Credential | LMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8632 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5825 221ST PL SE STE 103 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-8927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700866936 | Heidi M Vander Pol | Psychologist | 5825 221st Pl Se, Suite # 201, Issaquah, WA 98027-8927 | 2006-01-23 |
| 1093192536 | Two Sisters Dc LLC | Health Maintenance Organization | 5825 221st Pl Se, Suite 103, Issaquah, WA 98027-8927 | 2015-05-05 |
| 1255721742 | Lindsey Ann Dinicola | Chiropractor | 5825 221st Pl Se, #103, Issaquah, WA 98027-8927 | 2015-02-04 |
| 1841626017 | Adrienne Marie Dinicola | Chiropractor | 5825 221st Pl Se, #103, Issaquah, WA 98027-8927 | 2013-09-19 |
| 1285992974 | Integrated Rehab Group Limited Partnership | Physical Therapist | 5825 221st Pl Se, #208, Issaquah, WA 98027-8927 | 2012-05-01 |
| 1962799841 | Oleg A Shvartsur | Dentist | 5825 221st Pl Se, Suite #101, Issaquah, WA 98027-8927 | 2011-06-29 |
| 1659663888 | Issaquah Natural Medicine, Inc | Naturopath | 5825 221st Pl Se, Suite 207, Issaquah, WA 98027-8927 | 2011-05-05 |
| 1083943245 | Integrated Rehabilitation Group PC | Clinic/Center | 5825 221st Pl Se, Suite 208, Issaquah, WA 98027-8927 | 2009-12-17 |
| 1407092869 | Katja Violet Magus | Naturopath | 5825 221st Pl Se, Suite 204, Issaquah, WA 98027-8927 | 2009-01-06 |
| 1497936892 | Squak Mountain Physical Therapy, Inc. | Clinic/Center | 5825 221st Pl Se, Ste 206, Issaquah, WA 98027-8927 | 2007-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| 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 |
|---|---|---|---|---|
| 1164038519 | Kylie Van Cleve | Massage Therapist | 1320 Nw Mall St Ste A2, Issaquah, WA 98027-8964 | 2020-09-21 |
| 1285244640 | Songting Chi | Massage Therapist | 2009 Nw Steelrake Pl Unit P308, Issaquah, WA 98027-7563 | 2020-07-31 |
| 1265085500 | Emma Ritter | Massage Therapist | 680 Nw Gilman Blvd Ste A1, Issaquah, WA 98027-2446 | 2019-07-16 |
| 1659885119 | Amanda Marie Carter | Massage Therapist | 26248 Se 162nd Pl, Issaquah, WA 98027-9802 | 2017-11-20 |
| 1154835809 | Julie Mavros | Massage Therapist | 23262 Se 57th St, Issaquah, WA 98029-8905 | 2017-11-16 |
| 1609394360 | Simon B Tapia | Massage Therapist | 600 Front St S Apt G204, Issaquah, WA 98027-4244 | 2017-09-01 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1124550751 | Shanna Chaffee | Massage Therapist | 175 1st Pl Nw Ste C, Issaquah, WA 98027-2746 | 2017-04-02 |
| 1174063564 | Kerry S Brown | Massage Therapist | 680 Nw Gilman Blvd Ste A, Issaquah, WA 98027-2454 | 2017-03-03 |
| 1184073660 | Kathleen Jaramillo | Massage Therapist | 201 Mountain Park Blvd Sw, Apt. E106, Issaquah, WA 98027-3667 | 2016-06-06 |
| Find all providers in ISSAQUAH | ||||
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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.