TRAVELING WELLNESS PS (NPI# 1942860697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942860697 |
| Entity Type | Organization |
| Organization Name | TRAVELING WELLNESS PS |
| Practice Address |
23745 225th Way Se Ste 201 Maple Valley WA 98038-5294 |
| Mailing Address |
1002 Thompson St Sumner WA 98390-1314 |
| Practice Telephone | 4253909425 |
| Mailing Telephone | 4253909425 |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2019-06-15 |
| Authorized Official Name | SCOTT A BRUNNER (CEO) |
| Authorized Official Telephone | 4253909425 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Traveling Wellness PS | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | TRAVELING WELLNESS PS | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 |
| Street Address |
23745 225TH WAY SE STE 201 |
| City | MAPLE VALLEY |
| State | WA |
| Zip Code | 98038-5294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073670055 | Larry G. Knauss | Clinical Neuropsychologist | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2007-01-02 |
| 1053922898 | Mijin Han | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2020-08-14 |
| 1760017115 | Ma Isabel Abuhon Obligacion | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2020-03-05 |
| 1750929600 | Briana Hodson | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2019-12-11 |
| 1588207765 | Tara Harvey | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2019-10-21 |
| 1144880683 | Bruncuso Properties Inc | Clinic/Center | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2019-06-17 |
| 1124685045 | Johnny E Liner | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2019-05-27 |
| 1619439924 | Markita Renee Guiden | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2019-04-04 |
| 1255804654 | Tao Liang | Physician Assistant | 23745 225th Way Se Ste 201, Maple Valley, WA 98038 | 2019-01-08 |
| 1114420734 | Rachel Malof | Nurse Practitioner | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2018-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619456357 | Ryan Koichi Taniguchi | Physical Therapist | 26837 Maple Valley Black Diamond Rd Se Ste 200, Maple Valley, WA 98038 | 2018-08-13 |
| 1841722311 | Michelle Atkinson | Behavior Technician | 26846 226th Pl Se, Maple Valley, WA 98038 | 2017-04-03 |
| 1285019828 | Blue River Counseling, LLC | Counselor | 22728 228th Avenue Se, Maple Valley, WA 98038 | 2015-07-24 |
| 1619356060 | Victoria Labrie | Specialist/Technologist | 24961 230th Pl Se, Maple Valley, WA 98038 | 2015-05-19 |
| 1114328523 | Scott Joseph Akers | Physical Therapist | 26837 Maple Valley Black Diamond Road, Suite 200, Maple Valley, WA 98038 | 2014-09-05 |
| 1487069647 | Thomas A. Holt Dds Pllc | Dentist | 27016 Maple Valley Black Diamond Road South East, Maple Valley, WA 98038 | 2014-06-26 |
| 1548515216 | Stirewalt PC | Dentist | 24040 Se Kent Kangley Rd, Suite E200, Maple Valley, WA 98038 | 2012-07-19 |
| 1124399183 | Samantha Halfen | Counselor | 26828 Maple Valley Hwy, Suite #152, Maple Valley, WA 98038 | 2012-01-24 |
| 1326336868 | Troy Aaron Nordyke | Physical Therapist | 26837 Maple Valley Highway, Suite 200, Maple Valley, WA 98038 | 2011-07-19 |
| 1598074510 | Luna Healthcare, LLC | Audiologist-Hearing Aid Fitter | 22010 Se 248th Street, Maple Valley, WA 98038 | 2010-09-27 |
| Find all providers in zip 98038 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144880683 | Bruncuso Properties Inc | Clinic/Center | 23745 225th Way Se Ste 201, Maple Valley, WA 98038-5294 | 2019-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457153 | Scandia Wellness | Clinic/Center | 121 Naylor Rd, Mossyrock, WA 98564-9507 | 2020-11-07 |
| 1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
| 1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
| 1578187829 | Therapy Northwest Pllc | Clinic/Center | 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 | 2020-06-02 |
| 1922621721 | Riaz Pllc | Clinic/Center | 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 | 2020-05-27 |
| 1295356848 | Community Health Care | Clinic/Center | 16329 Se 318th St, Auburn, WA 98092-9284 | 2020-05-05 |
| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1912530932 | Lummi Indian Business Council | Clinic/Center | 2924 Haxton Way, Bellingham, WA 98226-9265 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | MAPLE VALLEY |
| Zip Code | 98038 |
Please comment or provide details below to improve the information on TRAVELING WELLNESS PS.
| 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.