JOSEPHINE D BRUENN (NPI# 1104477272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104477272 |
| Entity Type | Individual |
| Full Name | JOSEPHINE D BRUENN |
| Credential | LMT |
| Practice Address |
2809 Meridian Ave E Edgewood WA 98371-2108 |
| Practice Telephone | 2538401100 |
| Practice Fax Number | 2538401199 |
| Mailing Telephone | 2538401100 |
| Mailing Fax Number | 2538401199 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60985998 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2809 MERIDIAN AVE E |
| City | EDGEWOOD |
| State | WA |
| Zip Code | 98371-2108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396810685 | Ronald Ovidio Acosta | Chiropractor | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2006-11-21 |
| 1023668878 | Monica Bruenn | Massage Therapist | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2019-09-13 |
| 1497196182 | Mollijoy Arlene Boersema | Massage Therapist | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2013-07-10 |
| 1740303049 | Janet Lee Wilkerson | Chiropractor | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2007-04-09 |
| 1457479529 | Ronald O. Acosta, D.c. Pllc | Chiropractor | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
| 1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
| 1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
| 1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| Find all providers in zip 98371 | ||||
| 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 |
|---|---|---|---|---|
| 1356742092 | Nathan Gray | Massage Therapist | 11923 22nd Street Ct E, Edgewood, WA 98372-1649 | 2014-09-12 |
| 1871934034 | Elizabeth C Christensen | Massage Therapist | 1917 Old Us 66, Suite G, Edgewood, NM 87015-6762 | 2013-07-16 |
| 1558663914 | Paulette Kathleen Wiesinger | Massage Therapist | 11804 County Line Rd, Edgewood, WA 98372-1255 | 2010-11-17 |
| 1265619316 | Bonnie Janette Harrison | Massage Therapist | 3307 Meridian Ave E, Edgewood, WA 98371-2609 | 2008-01-30 |
| 1598899908 | Cheryl Lynn Phillips | Massage Therapist | 2121 Meridian Ave E, Suite 9, Edgewood, WA 98371-1006 | 2007-03-15 |
| 1952939159 | Mika R Brown | Massage Therapist | 1020 Edgewood Rd, Edgewood, MD 21040-1606 | 2020-04-01 |
| 1023668878 | Monica Bruenn | Massage Therapist | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2019-09-13 |
| 1497196182 | Mollijoy Arlene Boersema | Massage Therapist | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2013-07-10 |
| 1851633135 | Tracey Hughes | Massage Therapist | 1 Linnie Ct, Edgewood, NM 87015-9125 | 2013-03-25 |
| 1265628838 | Joan Marie Shephard | Massage Therapist | 1625 Meridian Ave E, Edgewood, WA 98371-1013 | 2007-09-18 |
| Find all providers in EDGEWOOD | ||||
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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.