AMANDA SUSANNA WILLMS (NPI# 1982951778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982951778 |
| Entity Type | Individual |
| Full Name | AMANDA SUSANNA WILLMS |
| Credential | L.M.P. |
| Practice Address |
3400 W Clearwater Ave Suite 5 Kennewick WA 99336-2709 |
| Mailing Address |
209 S Vancouver St Kennewick WA 99336-3221 |
| Practice Telephone | 5097370610 |
| Mailing Telephone | 5095917088 |
| Enumeration Date | 2012-08-10 |
| Last Update Date | 2012-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60297070 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3400 W CLEARWATER AVE SUITE 5 |
| City | KENNEWICK |
| State | WA |
| Zip Code | 99336-2709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558433532 | Suzan Marie Kinkel | Massage Therapist | 3400 W Clearwater Ave, Suite 5, Kennewick, WA 99336-2709 | 2006-11-14 |
| 1821432410 | Breezi Schreiber | Massage Therapist | 3400 W Clearwater Ave, Suite 5, Kennewick, WA 99336-2709 | 2013-04-25 |
| 1770655664 | Kirsten Anna Young | Massage Therapist | 3400 W Clearwater Ave, Suite 5, Kennewick, WA 99336-2709 | 2006-11-15 |
| 1548332422 | Dixie Lee Bove | Massage Therapist | 3400 W Clearwater Ave, Suite 5, Kennewick, WA 99336-2709 | 2006-11-15 |
| 1699847939 | Donald Allen Brandsma | Massage Therapist | 3400 W Clearwater Ave, Suite 5, Kennewick, WA 99336-2709 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1508403858 | New U Women's Clinic & Aesthetics Pllc | Nurse Practitioner | 35 S Louisiana St, Suite A120, Kennewick, WA 99336 | 2019-12-05 |
| 1457901944 | Solar Mobility LLC | Durable Medical Equipment & Medical Supplies | 949 S Keller St, Kennewick, WA 99336 | 2019-09-17 |
| 1023662590 | Shane Arthur Gulley | Counselor | 500 N. Morain St Suite 1250, Kennewick, WA 99336 | 2019-08-01 |
| 1063973873 | Farah Saleem | Student in an Organized Health Care Education/Training Program | 212 W. 10th Avenue,suite 202, Kennewick, WA 99336 | 2019-03-26 |
| 1255897690 | Thomas Stanley Mcgowan | Student in an Organized Health Care Education/Training Program | Tri-cities Cancer Center, 7350 W. Deschutes Ave, Building A, Kennewick, WA 99336 | 2019-02-11 |
| 1770068280 | Remedy Urgent Mobile Medicine Pllc | Nurse Practitioner | 3311 West Clearwater Avenue, Suite D210, Kennewick, WA 99336 | 2018-10-01 |
| 1740767011 | Zachary Wilber Fournier | Specialist/Technologist | Toyota Center - 7000 West Grandridge Blvd, Kennewick, WA 99336 | 2018-07-19 |
| 1649780693 | Alan Arnold Hanson | Chiropractor | 8350 W. Grandridge Blvd #100, Kennewick, WA 99336 | 2017-10-04 |
| 1922528827 | Sarah Nicole Childress | Counselor | 415 North Morain St, Kennewick, WA 99336 | 2017-06-21 |
| Find all providers in zip 99336 | ||||
| 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 |
|---|---|---|---|---|
| 1831796887 | Mercedes Garrett | Massage Therapist | 4018 W Clearwater Ave Ste B, Kennewick, WA 99336-2643 | 2020-10-02 |
| 1497372833 | Madeline Rose Heutink | Massage Therapist | 703 S Penn Pl, Kennewick, WA 99336-9397 | 2020-07-01 |
| 1497393888 | Kelsie D Parvinen | Massage Therapist | 8350 W. Grandridge Blvd, Suite 100, Kennewick, WA 99336 | 2019-12-16 |
| 1831734011 | Bobby Lee Alton | Massage Therapist | 4206 W 24th Ave Apt A101, Kennewick, WA 99338-9311 | 2019-11-12 |
| 1518518513 | Angela Renee Davidson | Massage Therapist | 712 S Yolo St, Kennewick, WA 99336-9606 | 2019-09-23 |
| 1932678356 | Nereida Sanchez-vizcarra | Massage Therapist | 8131 W Klamath Ct Ste H, Kennewick, WA 99336-5251 | 2018-11-14 |
| 1396211447 | Andrew Christopher Ferguson | Massage Therapist | 520 S Grant St, Kennewick, WA 99336-2013 | 2018-10-16 |
| 1225535461 | Brittney Heer | Massage Therapist | 1586 W 44th Ave, Kennewick, WA 99337-4533 | 2018-04-12 |
| 1881104867 | Heather M Thome | Massage Therapist | 515 N Neel St Ste 105, Kennewick, WA 99336-2256 | 2017-10-04 |
| 1932635497 | Corri Spaur | Massage Therapist | 4321 W 9th Pl, Kennewick, WA 99336-4380 | 2017-05-03 |
| Find all providers in KENNEWICK | ||||
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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.