SCOTT WAMBOLD (NPI# 1114395266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114395266 |
| Entity Type | Individual |
| Full Name | SCOTT WAMBOLD |
| Credential | LMT |
| Practice Address |
450 Leckler Creek Rd Castle Rock WA 98611-9264 |
| Practice Telephone | 5037814606 |
| Mailing Telephone | 5037814606 |
| Enumeration Date | 2015-09-07 |
| Last Update Date | 2015-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172M00000X | Mechanotherapist | 21344 | OR | Other Service Providers |
| Y | 172M00000X | Mechanotherapist | 60547514 | WA | Other Service Providers |
| Street Address |
450 LECKLER CREEK RD |
| City | CASTLE ROCK |
| State | WA |
| Zip Code | 98611-9264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942568522 | Almost Angels Home Care Agency, LLC | In Home Supportive Care | 211 Front Ave Sw, Castle Rock, WA 98611 | 2012-05-02 |
| 1922204866 | Emma V Torres Baltazar Md Pllc | Family Medicine | 606 Se Roake Avenue, Castle Rock, WA 98611 | 2007-06-26 |
| 1417002064 | Crystal L Davis | Massage Therapist | 139 1st Ave. Sw, Castle Rock, WA 98611 | 2007-01-24 |
| 1134284060 | Pt Northwest of Longview Inc | Physical Therapist | 20 Cowlitz, Castle Rock, WA 98611 | 2006-12-22 |
| 1306857800 | Castle Rock Pharmacy Inc | Pharmacy | 117 1st Sw, Castle Rock, WA 98611 | 2006-08-10 |
| 1619901592 | Emma V. Torres-baltazar | Family Medicine | 606 Se Roake St. / Avenue, Castle Rock Medical Clinic, Castle Rock, WA 98611 | 2006-07-10 |
| 1427005164 | Gregory Loren Finkas | Chiropractor | 1254 Mt St Helens Way Ne, Suite E, Castle Rock, WA 98611 | 2006-05-28 |
| 1164490058 | City of Castle Rock | Ambulance | 146 A Street Sw, Castle Rock, WA 98611 | 2006-03-08 |
| 1962496083 | Beverly M Search | Registered Nurse | 139 1st Ave Sw, Castle Rock, WA 98611 | 2005-09-02 |
| 1235623844 | Tina M Pond | Registered Nurse | 2232 S Silver Lake Rd, Castle Rock, WA 98611 | 2018-06-18 |
| Find all providers in zip 98611 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871024059 | Island Wellness Center | Mechanotherapist | 470 Spring St Ste 103, Friday Harbor, WA 98250-7230 | 2017-03-21 |
| 1710425418 | Diana Diamond | Mechanotherapist | 13307 28th Ave Se, Mill Creek, WA 98012-4641 | 2017-02-02 |
| 1568909711 | Marisa Seana Wentz | Mechanotherapist | 307 S 12th Ave Ste 9, Yakima, WA 98902-3138 | 2017-01-26 |
| 1467904896 | Carmel Mundell | Mechanotherapist | 8644 S Thompson Ave, Tacoma, WA 98444-4468 | 2016-11-02 |
| 1235680505 | Nataliya Soroka | Mechanotherapist | 26818 115th Pl Se, Kent, WA 98030-8478 | 2016-10-20 |
| 1295281038 | Jenny Monfore | Mechanotherapist | 6633 Sw Admiral Way, Seattle, WA 98116 | 2016-08-31 |
| 1942754668 | Kassandra Bizauskas | Mechanotherapist | 100 Station Drive Suite 100, Dupont, WA 98327-8727 | 2016-08-10 |
| 1033562368 | Michael Coffey | Mechanotherapist | 9508 Ne 70th St, Vancouver, WA 98662-4536 | 2016-07-21 |
| 1558713248 | Angela Wapner | Mechanotherapist | 139 23rd Ave S, Seattle, WA 98144-2301 | 2016-07-06 |
| 1992156004 | Barbara Federspiel | Mechanotherapist | 1489 Hillspring Rd, Bellingham, WA 98226-8825 | 2016-06-29 |
| Find all providers with the same taxonomy | ||||
| City | CASTLE ROCK |
| Zip Code | 98611 |
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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.