MADISON D DETTMER (NPI# 1134427826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134427826 |
| Entity Type | Individual |
| Full Name | MADISON D DETTMER |
| Credential | LMP |
| Practice Address |
4322 Rucker Ave Everett WA 98203-2233 |
| Practice Telephone | 4252585454 |
| Mailing Telephone | 4252585454 |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2011-03-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60203144 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4322 RUCKER AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-2233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992874309 | Carol Annette Harvey | Massage Therapist | 4322 Rucker Ave, Everett, WA 98203-2233 | 2006-11-07 |
| 1316552334 | Raena Bennett | Massage Therapist | 4322 Rucker Ave, Everett, WA 98203-2233 | 2020-09-15 |
| 1881243731 | Sierra Regina Edinger | Massage Therapist | 4322 Rucker Ave, Everett, WA 98203-2233 | 2019-09-04 |
| 1700384757 | Tetreanna Wells | Massage Therapist | 4322 Rucker Ave, Everett, WA 98203-2233 | 2018-01-24 |
| 1568859080 | Desiree Warner | Massage Therapist | 4322 Rucker Ave, Everett, WA 98203-2233 | 2015-04-22 |
| 1255751053 | Stephanie Lynn Dixon | Massage Therapist | 4322 Rucker Ave, Everett, WA 98203-2233 | 2014-04-18 |
| 1952743155 | Michelle L Sullivan | Massage Therapist | 4322 Rucker Ave, Everett, WA 98203-2233 | 2013-07-29 |
| 1336491364 | Matthew Huot | Massage Therapist | 4322 Rucker Ave, Everett, WA 98203-2233 | 2012-10-15 |
| 1922362094 | Melissa Leigh Mercer | Massage Therapist | 4322 Rucker Ave, Everett, WA 98203-2233 | 2012-07-03 |
| 1922309392 | Scott David Cattanach | Massage Therapist | 4322 Rucker Ave, Everett, WA 98203-2233 | 2010-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| 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 |
|---|---|---|---|---|
| 1679170054 | Jamie Rose Stolp | Massage Therapist | 4626 Fowler Ave, Everett, WA 98203-2719 | 2020-10-08 |
| 1477197580 | Michael L Cook | Massage Therapist | 13616 56th Ave Se, Everett, WA 98208-9480 | 2019-10-31 |
| 1184287997 | Yanmei Holland | Massage Therapist | 927 128th St Sw Ste B, Everett, WA 98204-6315 | 2019-04-17 |
| 1477033397 | Aimee Elizabeth Huff | Massage Therapist | 10315 19th Ave Se Ste 106, Everett, WA 98208-4268 | 2018-08-20 |
| 1487131033 | Jazmin Adai Leader | Massage Therapist | 2720 Fulton St Unit A, Everett, WA 98201-3731 | 2018-07-26 |
| 1265944045 | Rachel Pemble-fahner | Massage Therapist | 205 E Casino Rd Ste B7, Everett, WA 98208-2600 | 2017-11-01 |
| 1659883817 | Lorena Alehly Kaiser | Massage Therapist | 2804 Grand Ave Ste 307a, Everett, WA 98201-3586 | 2017-10-27 |
| 1306356977 | Nataliya I Kerpan | Massage Therapist | 2803 Grand Ave, Everett, WA 98201-3417 | 2017-10-09 |
| 1013430693 | Cassidy Doohan | Massage Therapist | 15104 52nd Ave Se, Everett, WA 98208-8936 | 2017-07-25 |
| 1326578311 | Samantha Lee Giguere | Massage Therapist | 459 Broadway Ste 204, Everett, MA 02149-3614 | 2017-06-13 |
| Find all providers in EVERETT | ||||
Please comment or provide details below to improve the information on MADISON D DETTMER.
| 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.