MASSAGE CENTER OF BELLEVUE (NPI# 1962860650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962860650 |
| Entity Type | Organization |
| Organization Name | MASSAGE CENTER OF BELLEVUE |
| Practice Address |
17020 166th Pl Ne Woodinville WA 98072-8955 |
| Practice Telephone | 2069191996 |
| Mailing Telephone | 2069191996 |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |
| Authorized Official Name | LAUREN ASHLEY STANLEY (LMP) |
| Authorized Official Telephone | 2069191996 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60619703 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MASSAGE THERAPY | MA60619703 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831228287 | Massage Center of Bellevue | Massage Therapist | 37 103rd Ave Ne, Bellevue, WA 98004-5689 | 2007-03-03 |
| Street Address |
17020 166TH PL NE |
| City | WOODINVILLE |
| State | WA |
| Zip Code | 98072-8955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841832466 | Optum Infusion Services 501 Inc | Durable Medical Equipment & Medical Supplies | 8131 West Bostian Road, Suite A345, Woodinville, WA 98072 | 2019-10-15 |
| 1326511973 | Charyle Rae Tasanasanta | Massage Therapist | 17311 Ne 175th Ave, Building C, Suite 100, Woodinville, WA 98072 | 2019-01-07 |
| 1508360868 | Nitin Thapa | Naturopath | 14221 Ne 181st Pl Apt P203, Woodinville, WA 98072 | 2018-03-21 |
| 1588189963 | Sally Winkel | Occupational Therapist | 17311 135 Ave Ne, Suite C200, Woodinville, WA 98072 | 2017-08-07 |
| 1548783848 | Matt Clute | Chiropractor | 13110 Ne 177th Pl #1005, Woodinville, WA 98072 | 2017-07-19 |
| 1427506294 | Bobbi Arnold | Physical Therapy Assistant | 17918 Ne 157th Street, Woodinville, WA 98072 | 2016-09-21 |
| 1194175208 | Yu Yuan Zhang | Optometrist | 24008 Woodinville-snohomish Rd, Woodinville, WA 98072 | 2016-06-20 |
| 1093171357 | Anne Cahanin | Counselor | 17220 127th Pl Ne Ste 101, Woodinville, WA 98072 | 2016-01-01 |
| 1710365754 | Alexandra Castro | Pharmacist | 16427 Ne 145th St, Woodinville, WA 98072 | 2015-05-11 |
| 1649679911 | Susan Lewis | Nutritionist | 17924 140th Ave Ne Ste 230, Woodinville, WA 98072 | 2014-08-22 |
| Find all providers in zip 98072 | ||||
| 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 |
|---|---|---|---|---|
| 1326511973 | Charyle Rae Tasanasanta | Massage Therapist | 17311 Ne 175th Ave, Building C, Suite 100, Woodinville, WA 98072 | 2019-01-07 |
| 1396251286 | Preston L Van Winkle | Massage Therapist | 21407 Ne 165th St, Woodinville, WA 98077-7711 | 2017-12-14 |
| 1629511852 | Jeffrey Bomes | Massage Therapist | 18250 142nd Ave Ne, Apt 423, Woodinville, WA 98072-4361 | 2016-11-20 |
| 1629510839 | Bella Fleur | Massage Therapist | 14344 231st Ct Ne, Woodinville, WA 98077-5872 | 2016-11-07 |
| 1114379971 | Adam Rooney | Massage Therapist | 14110 Ne 179th St Apt 21, Woodinville, WA 98072-6836 | 2016-07-05 |
| 1215359773 | Bryn Riekstins | Massage Therapist | 14513 Ne 178th Pl, Woodinville, WA 98072-9249 | 2014-01-16 |
| 1407124399 | Katelyn Kieffer | Massage Therapist | 15610 Ne Woodinville Duvall Rd Ste 108, Woodinville, WA 98072-7069 | 2011-12-06 |
| 1619259314 | Jeffrey Plough | Massage Therapist | 17525 164th Ave Ne, Woodinville, WA 98072-5205 | 2011-09-19 |
| 1922315720 | Estela Meza | Massage Therapist | 17220 127th Pl Ne Ste 101a, Woodinville, WA 98072-7965 | 2010-09-01 |
| 1053558957 | Earl James Ketchum | Massage Therapist | 15236 Ne 191st Pl, Woodinville, WA 98072-8442 | 2009-01-14 |
| Find all providers in WOODINVILLE | ||||
| City | WOODINVILLE |
| Zip Code | 98072 |
Please comment or provide details below to improve the information on MASSAGE CENTER OF BELLEVUE.
| 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.