MR. GLENN F TATE (NPI# 1033413083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033413083 |
| Entity Type | Individual |
| Full Name | MR. GLENN F TATE |
| Credential | LMP |
| Practice Address |
17620 80th Ave Ne Apt# 302 Kenmore WA 98028-6602 |
| Practice Telephone | 4259492617 |
| Mailing Telephone | 4259492617 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60172753 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
17620 80TH AVE NE APT# 302 |
| City | KENMORE |
| State | WA |
| Zip Code | 98028-6602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131237 | Pacifica Kenmore LLC | Alzheimer Center (Dementia Center) | 7221 Ne 182nd Street, Kenmore, WA 98028 | 2020-10-13 |
| 1487173183 | Reiko Margarete Kobayashi-wagner | Dietitian, Registered | 17512 83rd Pl Ne, C304, Kenmore, WA 98028 | 2017-09-13 |
| 1356866776 | Matthew Vaughn | Specialist/Technologist | 6741 Ne 182nd St, Unit C313, Kenmore, WA 98028 | 2017-08-07 |
| 1619407467 | Suzanne Marie Gisch | Family Medicine | 18151 68th Ave Ne, Unit 219, Kenmore, WA 98028 | 2017-06-14 |
| 1063853018 | Vinai Prakash | Podiatrist | 6610 Ne 181st St Ste 4, Kenmore, WA 98028 | 2013-07-07 |
| 1760732580 | Benjamin Dorantes Dds Pllc | Dentist | 5710 Bothell Way Ne, Ste. 5, Kenmore, WA 98028 | 2012-09-19 |
| 1538491378 | Kellie A Cheever | Massage Therapist | 8846 Ne 160th Pl, Kenmore, WA 98028 | 2010-02-04 |
| 1275867855 | Mei-hsuan Ko | Dentist | 5723 Ne Bothell Way Ste C, Kenmore, WA 98028 | 2009-09-29 |
| 1659521912 | Wayne E Carr | Psychologist | 7800 N E Bothell Way, Suite 155 B, Kenmore, WA 98028 | 2008-09-23 |
| 1366625899 | Kevin Michael Smith | Chiropractor | 7249 Ne 171st Ln, Kenmore, WA 98028 | 2007-12-06 |
| Find all providers in zip 98028 | ||||
| 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 |
|---|---|---|---|---|
| 1285293753 | Connor Kirchhof | Massage Therapist | 16901 Simonds Rd Ne, Kenmore, WA 98028-3967 | 2019-06-10 |
| 1164977799 | Han Bui | Massage Therapist | 6524 Ne 181st St, Kenmore, WA 98028-4851 | 2016-08-24 |
| 1841688967 | Thomas Leous IIi | Massage Therapist | 72 Leicester Rd, Kenmore, NY 14217-2112 | 2014-12-23 |
| 1881025260 | Rebecca Ivy | Massage Therapist | 6105 Ne 202nd St, Kenmore, WA 98028-1943 | 2013-12-10 |
| 1487994992 | Sean Vincent Toly | Massage Therapist | 8326 Ne 187th Way, Kenmore, WA 98028-2825 | 2013-02-20 |
| 1770827545 | Erin Zwack | Massage Therapist | 2982 Delaware Ave Rear, Kenmore, NY 14217-2324 | 2012-11-19 |
| 1326305426 | Deborah Elizabeth Nicol Mcgee | Massage Therapist | 19235 73rd Ave Ne, Unit 2, Kenmore, WA 98028-2662 | 2012-04-13 |
| 1831477090 | Leah Marie Wendel-tarabochia | Massage Therapist | 7018 Ne Bothell Way Ste A, Kenmore, WA 98028-3515 | 2011-07-21 |
| 1760775373 | Lauren Herold | Massage Therapist | 6815 Ne 204th St, Kenmore, WA 98028-2049 | 2011-05-16 |
| 1346561321 | Wendy M Rosinski | Massage Therapist | 6230 Ne 193rd Ct, Kenmore, WA 98028-3324 | 2010-06-14 |
| Find all providers in KENMORE | ||||
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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.