MONROE THERAPEUTIC MASSAGE PS (NPI# 1104103357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104103357 |
| Entity Type | Organization |
| Organization Name | MONROE THERAPEUTIC MASSAGE PS |
| Practice Address |
751 Ne Blakely Dr Issaquah WA 98029-6201 |
| Mailing Address |
101 E Main St Ste 201 Monroe WA 98272-1519 |
| Practice Telephone | 4254550088 |
| Practice Fax Number | 4254550340 |
| Mailing Telephone | 3608630642 |
| Mailing Fax Number | 3607947236 |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2013-03-13 |
| Authorized Official Name | GLYN DESMOND (PRESIDENT) |
| Authorized Official Telephone | 4258021382 |
| Authorized Official Credential | LMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659560381 | Monroe Therapeutic Massage Ps | Massage Therapist | 124 4th Ave S, Suite 250, Kent, WA 98032-5879 | 2007-10-18 |
| 1144436932 | Monroe Therapeutic Massage Ps | Massage Therapist | 11911 Ne 132nd St, Ste 101, Kirkland, WA 98034-2900 | 2007-05-16 |
| 1275749996 | Monroe Therapeutic Massage Ps | Massage Therapist | 101 E Main St, Ste 201, Monroe, WA 98272-1519 | 2007-05-16 |
| 1184830804 | Monroe Therapeutic Massage Ps | Massage Therapist | 1611 116th Ave Ne, Ste 200, Bellevue, WA 98004-3064 | 2007-05-16 |
| 1992911614 | Monroe Therapeutic Massage Ps | Massage Therapist | 509 Olive Way, Ste 755, Seattle, WA 98101-1773 | 2007-05-16 |
| 1790990778 | Monroe Therapeutic Massage Ps | Massage Therapist | 1801 Nw Market St, Ste 408, Seattle, WA 98107 | 2007-05-11 |
| 1851506844 | Monroe Therapeutic Massage Ps | Massage Therapist | 1221 Madison St, Seattle, WA 98104-3588 | 2007-05-11 |
| Street Address |
751 NE BLAKELY DR |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029-6201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154325751 | Ann-elizabeth Georgianne Jarris | Emergency Medicine | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2005-06-10 |
| 1952935157 | Sunny Yoon | Registered Nurse | 751 Ne Blakely Dr, Swedish Issaquah Campus, Issaquah, WA 98029-6201 | 2020-02-26 |
| 1760012868 | Pacmed Clinics | Clinic/Center | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2020-01-17 |
| 1851864193 | Rachel Licia Crawford | Registered Nurse | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2019-01-09 |
| 1538617881 | Jan Marie Kay | Pharmacist | 751 Ne Blakely Dr, Testing and Treatment 3rd Floor, Issaquah, WA 98029-6201 | 2016-09-15 |
| 1639627177 | Veronica Esquibel | Pharmacist | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2016-09-13 |
| 1326406968 | Heather Hires | Registered Nurse | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2016-02-09 |
| 1841664729 | Yeachan Hwang | Student in an Organized Health Care Education/Training Program | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2015-11-16 |
| 1588036909 | Carrie Hall | Registered Nurse | 751 Ne Blakely Dr, Issaquah, WA 98029-6201 | 2015-10-25 |
| 1376914721 | Jessica D Kim | Dietitian, Registered | 751 Ne Blakely Dr, 3rd Floor, Issaquah, WA 98029-6201 | 2015-10-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| Find all providers in zip 98029 | ||||
| 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 |
|---|---|---|---|---|
| 1164038519 | Kylie Van Cleve | Massage Therapist | 1320 Nw Mall St Ste A2, Issaquah, WA 98027-8964 | 2020-09-21 |
| 1285244640 | Songting Chi | Massage Therapist | 2009 Nw Steelrake Pl Unit P308, Issaquah, WA 98027-7563 | 2020-07-31 |
| 1265085500 | Emma Ritter | Massage Therapist | 680 Nw Gilman Blvd Ste A1, Issaquah, WA 98027-2446 | 2019-07-16 |
| 1659885119 | Amanda Marie Carter | Massage Therapist | 26248 Se 162nd Pl, Issaquah, WA 98027-9802 | 2017-11-20 |
| 1154835809 | Julie Mavros | Massage Therapist | 23262 Se 57th St, Issaquah, WA 98029-8905 | 2017-11-16 |
| 1609394360 | Simon B Tapia | Massage Therapist | 600 Front St S Apt G204, Issaquah, WA 98027-4244 | 2017-09-01 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1124550751 | Shanna Chaffee | Massage Therapist | 175 1st Pl Nw Ste C, Issaquah, WA 98027-2746 | 2017-04-02 |
| 1174063564 | Kerry S Brown | Massage Therapist | 680 Nw Gilman Blvd Ste A, Issaquah, WA 98027-2454 | 2017-03-03 |
| 1184073660 | Kathleen Jaramillo | Massage Therapist | 201 Mountain Park Blvd Sw, Apt. E106, Issaquah, WA 98027-3667 | 2016-06-06 |
| Find all providers in ISSAQUAH | ||||
Please comment or provide details below to improve the information on MONROE THERAPEUTIC MASSAGE PS.
| 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.