KEELY NICOLE STEWART


Address: 16923 96th Ave Ne, Bothell, WA 98011-1937
Phone: 4254857507

KEELY NICOLE STEWART (NPI# 1982776670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982776670
Entity Type Individual
Full Name KEELY NICOLE STEWART
Credential LMP
Practice Address 16923 96th Ave Ne
Bothell
WA 98011-1937
Practice Telephone 4254857507
Practice Fax Number 4254837332
Mailing Telephone 4254857507
Mailing Fax Number 4254837332
Enumeration Date 2006-11-15
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA17772 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA LICENSE NUMBER MA17772 01

Office Location

Street Address 16923 96TH AVE NE
City BOTHELL
State WA
Zip Code 98011-1937

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356368070 David Leroy Arthur Chiropractor 16923 96th Ave Ne, Bothell, WA 98011-1937 2006-07-17
1093263469 Michael Everly Massage Therapist 16923 96th Ave Ne, Bothell, WA 98011-1937 2016-09-14
1679824718 Nicole M Anderson Naturopath 16923 96th Ave Ne, Bothell, WA 98011-1937 2012-09-28
1164661898 Kristin E. Stevens Massage Therapist 16923 96th Ave Ne, Bothell, WA 98011-1937 2009-02-19
1679741706 Bethany Dawn Taylor Massage Therapist 16923 96th Ave Ne, Bothell, WA 98011-1937 2008-02-11
1821120304 Megan K Vogel Massage Therapist 16923 96th Ave Ne, Bothell, WA 98011-1937 2007-03-11
1376613877 Cynthia Karvonen Massage Therapist 16923 96th Ave Ne, Bothell, WA 98011-1937 2006-11-09
1346267069 Suzanne Marie Shay Chiropractor 16923 96th Ave Ne, Bothell, WA 98011-1937 2006-07-17
1790702413 Doyle Chiropractic Clinic, Ps Chiropractor 16923 96th Ave Ne, Bothell, WA 98011-1937 2006-07-17

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831714476 Giovanna Dominique Seibel Behavior Technician 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 2020-06-09
1366070880 Cristian Josue Rivera Nales Behavioral Analyst 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 2020-03-30
1205466968 Ashley Lynn Lockwood O'neil Counselor 9201 120th Ave Ne, #108, Bothell, WA 98011 2020-01-22
1508415290 Alexis Catalina Bailey Behavior Technician 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 2019-09-05
1790337194 Nw Foot and Ankle Specialists, LLC Podiatrist 12900 Ne 180th St, Ste 150, Bothell, WA 98011 2019-07-15
1154849784 Andrea Reynolds Counselor 10516 East Riverside Drive, Bothell, WA 98011 2017-09-04
1912353111 Pediatric Associates, Inc., Dba Allegro Pediatrics Pediatrics 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 2016-05-06
1699145508 Kelsie Ann Mcgladrey Physical Therapist 18504 Bethell Way Ne, Bethell, WA 98011 2015-10-05
1205217882 Isaac-gregory Hyde Robancho Massage Therapist 10024 Main Street, Suite 2 C, Bothell, WA 98011 2015-06-09
1962889154 Jennifer Zhang Colbert Dentist 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 2015-04-27
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790397974 Capstone Snohomish LLC Massage Therapist 24118 Bothell Everett Hwy Unit 400, Bothell, WA 98021-9379 2020-08-19
1326609876 Stephanie Norby Massage Therapist 18930 Bothell Everett Hwy Apt U104, Bothell, WA 98012-5225 2019-06-25
1861053811 Thomas J Clark Massage Therapist 16615 North Rd Unit B, Bothell, WA 98012-5983 2019-06-20
1174188049 Jerimiah Joseph Zachary Seeds-murphy Massage Therapist 21915 6th Ave W, Bothell, WA 98021-8137 2019-05-07
1457818197 Marcelo Quinonez Massage Therapist 2904 165th Pl Se, Bothell, WA 98012-6023 2019-03-01
1023589009 Justin Hoeker Massage Therapist 24306 Carter Rd Unit B, Bothell, WA 98021-9413 2018-12-17
1790287910 Kayla Meghan Dunbar Massage Therapist 2132 178th St Se, Bothell, WA 98012-6562 2018-03-03
1437658028 Britney Walls Massage Therapist 23825 15th Ave Se Unit 21a, Bothell, WA 98021-8862 2018-02-08
1053853085 Paige Linder Pattillo Massage Therapist 21715 49th Ave Se, Bothell, WA 98021-8042 2016-11-08
1588026413 Nathan Earl Crawford Massage Therapist 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 2016-03-21
Find all providers in BOTHELL

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City BOTHELL
Zip Code 98011

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Dataset Information

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.

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