BRENDA JAYNE RHOADES (NPI# 1962832097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962832097 |
Entity Type | Individual |
Full Name | BRENDA JAYNE RHOADES |
Practice Address |
1505 Kla-ook-wa Drive Taholah WA 98587-0219 |
Mailing Address |
Po Box 219 Taholah WA 98587-0219 |
Practice Telephone | 3602764405 |
Mailing Telephone | 3602764405 |
Enumeration Date | 2013-11-27 |
Last Update Date | 2013-11-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA00009150 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1505 KLA-OOK-WA DRIVE |
City | TAHOLAH |
State | WA |
Zip Code | 98587-0219 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093888547 | Quinault Indian Nation | Clinic/Center | 1505 Kla-ook-wa Drive, Taholah, WA 98587 | 2006-11-15 |
1548502016 | Alex Eugene Fabini | Counselor | 1505 Kla-ook-wa Drive, Taholah, WA 98587 | 2013-03-22 |
1245501048 | Quinault Indian Nation | Ambulance | 1505 Kla-ook-wa Drive, Taholah, WA 98587-0219 | 2012-01-25 |
1962771782 | Ernie V Sanchez | Counselor | 1505 Kla-ook-wa Drive, Taholah, WA 98587 | 2011-12-22 |
1861700080 | Gary D Faber | Counselor | 1505 Kla-ook-wa Drive, Taholah, WA 98587 | 2010-09-22 |
1912238080 | Dawn Rae Bankson | Nurse Practitioner | 1505 Kla-ook-wa Drive, Taholah, WA 98587 | 2010-01-28 |
1710112982 | Tamara A Dudley | Counselor | 1505 Kla-ook-wa Drive, Taholah, WA 98587-0219 | 2009-05-18 |
1144462805 | Kimberly Claire Mclaury | Dietitian, Registered | 1505 Kla-ook-wa Drive, Taholah, WA 98587-0219 | 2009-03-27 |
1659511087 | Susan C Davis | Counselor | 1505 Kla-ook-wa Drive, Taholah, WA 98587-0219 | 2009-02-25 |
1831239854 | Robert P Young | Pharmacist | 1505 Kla-ook-wa Drive, Roger Saux Health Center, Taholah, WA 98587 | 2007-02-07 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194985499 | Lisa Hall | Emergency Medical Technician, Paramedic | 1505 Kal-ook-wah Drive, Taholah, WA 98587 | 2008-06-11 |
1427171628 | Roger Saux Health Center | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1505 Klaookwa Drive, Taholah, WA 98587 | 2007-04-10 |
1609997766 | Alyson Gale Roby | Family Medicine | 1505 Kla-ook-wah Dr, Taholah, WA 98587 | 2007-04-03 |
1588799571 | Hope Errin Edwards | Counselor | 1505 Kla-ook-wa Way, Taholah, WA 98587 | 2007-02-22 |
1538240155 | Taholah School District | Local Education Agency (LEA) | 600 Chitwhin Drive, Taholah, WA 98587 | 2006-10-18 |
1225657844 | Pavel Mitin | Pharmacist | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2020-04-14 |
1932678224 | Tricia Dee Bumgarner | Massage Therapist | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2018-11-16 |
1851563860 | Mary Louise Hart | Nurse Practitioner | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2008-03-31 |
1477737781 | Holly Anne Mullins | Massage Therapist | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2007-12-21 |
1750573911 | Quinault Indian Nation | Clinic/Center | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2007-08-13 |
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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 |
---|---|---|---|---|
1932678224 | Tricia Dee Bumgarner | Massage Therapist | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2018-11-16 |
1477737781 | Holly Anne Mullins | Massage Therapist | 1505 Kla-ook-wa Dr, Taholah, WA 98587 | 2007-12-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396346177 | Franco Garibaldi | Massage Therapist | 8120 378th Ave Se, Snoqualmie, WA 98065-9338 | 2020-11-06 |
1073114815 | Michael Paul Frietze | Massage Therapist | 519 Sw Cascade Ave, Chehalis, WA 98532-3213 | 2020-11-06 |
1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
1912508094 | Catelyn Renee Wesley | Massage Therapist | 211 Marty Loop, Woodland, WA 98674-7223 | 2020-11-04 |
1154922250 | Wanju S Kellams | Massage Therapist | 677 Woodland Square Loop Se # A-8, Lacey, WA 98503-1000 | 2020-11-04 |
1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
1063013332 | Andrea L Yu | Massage Therapist | 7207 265th St Nw Ste 102, Stanwood, WA 98292-6274 | 2020-11-03 |
1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
1255931994 | Lotus Lounge Corporation | Massage Therapist | 200 Auburn Ave Ste 3, Auburn, WA 98002-5015 | 2020-10-30 |
1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
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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.