SARAH ANDERSON DIGRE (NPI# 1104450758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104450758 |
| Entity Type | Individual |
| Full Name | SARAH ANDERSON DIGRE |
| Credential | LMT |
| Practice Address |
9751 N Government Way Ste 4 Hayden ID 83835-9645 |
| Mailing Address |
1453 W Bering Dr Coeur D Alene ID 83815-8399 |
| Practice Telephone | 2086961300 |
| Practice Fax Number | 2086847834 |
| Mailing Telephone | 8013866264 |
| Mailing Fax Number | 2086847834 |
| Enumeration Date | 2020-02-22 |
| Last Update Date | 2020-02-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MAS-1292 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | OFFICE | 1033754791 | 01 |
| Street Address |
9751 N GOVERNMENT WAY STE 4 |
| City | HAYDEN |
| State | ID |
| Zip Code | 83835-9645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033754791 | Good Voodoo, LLC | Massage Therapist | 9751 N Government Way Ste 4, Hayden, ID 83835-9645 | 2019-11-16 |
| 1598376097 | Justin Teague Odell | Massage Therapist | 9751 N Government Way Ste 4, Hayden, ID 83835-9645 | 2020-08-10 |
| 1033743687 | Vanessa Sue Warden | Massage Therapist | 9751 N Government Way Ste 4, Hayden, ID 83835-9645 | 2020-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881212371 | Ngan T Nguyen | Pharmacist | 161 E. Prairie Shopping Center, Hayden, ID 83835 | 2020-07-10 |
| 1689158461 | Rskiom, Pllc | Electrodiagnostic Medicine | 9323 N Government Way #6, Hayden, ID 83835 | 2018-09-18 |
| 1235616913 | Kimberly Jill Young | Dietitian, Registered | 8500 N. Atlas Rd., Hayden, ID 83835 | 2018-07-25 |
| 1851894380 | Medicine Man North Pharmacy Inc | Pharmacy | 30585 N Roberts Rd, Hayden, ID 83835 | 2018-03-11 |
| 1366997322 | Jennifer Amber Belmont | Social Worker | 8680 N Wayne Dr, Suite A, Hayden, ID 83835 | 2016-08-19 |
| 1548637994 | Dance Dentistry Pllc | Clinic/Center | 1027 W Prairie Ave, Hayden, ID 83835 | 2015-09-01 |
| 1982012498 | Dallin J. Dance | Dentist | 1027 W. Prairie Ave., Hayden, ID 83835 | 2014-07-28 |
| 1669808614 | Integrated Interventions LLC | Clinic/Center | 2482 E. Glacier Rd., Hayden Lake, ID 83835 | 2013-09-23 |
| 1669812301 | Caleb Jerome Foss | Physical Therapist | 8382 N Wayne Dr Ste 100, Hayden, ID 83835 | 2013-06-26 |
| 1437493798 | Joseph Neal Tessendorf | Chiropractor | 1401 Biztown Loop, Hayden, ID 83835 | 2012-11-26 |
| Find all providers in zip 83835 | ||||
| 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 |
|---|---|---|---|---|
| 1033754791 | Good Voodoo, LLC | Massage Therapist | 9751 N Government Way Ste 4, Hayden, ID 83835-9645 | 2019-11-16 |
| 1265853550 | Dawn Charbonneau | Massage Therapist | 13403 N Government Way, Suite115, Hayden, ID 83835-9460 | 2014-01-03 |
| 1366863847 | Amber Gifford | Massage Therapist | 1375 E Miles Ave, Hayden, ID 83835-9251 | 2013-12-30 |
| 1619035623 | Rose Morningstar | Massage Therapist | 2151 W. Hayden Ave, Hayden, ID 83835 | 2006-12-04 |
| 1477152536 | Marisa Bernadette Dunphy | Massage Therapist | 2151 W Hayden Ave, Hayden, ID 83835-7414 | 2020-10-20 |
| 1710585138 | Bethany Bloomer | Massage Therapist | 2151 W Hayden Ave, Hayden, ID 83835-7414 | 2020-10-16 |
| 1972101855 | Raquel Pura Filipov | Massage Therapist | 2151 W Hayden Ave, Hayden, ID 83835-7414 | 2020-10-13 |
| 1598376097 | Justin Teague Odell | Massage Therapist | 9751 N Government Way Ste 4, Hayden, ID 83835-9645 | 2020-08-10 |
| 1033743687 | Vanessa Sue Warden | Massage Therapist | 9751 N Government Way Ste 4, Hayden, ID 83835-9645 | 2020-02-22 |
| 1497394514 | Megan Ellis | Massage Therapist | 2151 W Hayden Ave, Hayden, ID 83835-7414 | 2020-01-06 |
| Find all providers in HAYDEN | ||||
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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.