BODYWORK DEVINE LLC (NPI# 1164900940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1164900940 |
Entity Type | Organization |
Organization Name | BODYWORK DEVINE LLC |
Practice Address |
8507 S 5th St Ste 104 Ridgefield WA 98642-3422 |
Mailing Address |
34400 Ne Taylor Valley Rd La Center WA 98629-3408 |
Practice Telephone | 3608875839 |
Mailing Telephone | 3607983105 |
Enumeration Date | 2018-08-02 |
Last Update Date | 2018-08-02 |
Authorized Official Name | KRISTIN TAYLOR (OWNER) |
Authorized Official Telephone | 3607983105 |
Authorized Official Credential | LMP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA60188254 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
8507 S 5TH ST STE 104 |
City | RIDGEFIELD |
State | WA |
Zip Code | 98642-3422 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003117482 | Kristin Taylor | Massage Therapist | 8507 S 5th St Ste 104, Ridgefield, WA 98642-3422 | 2010-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073137741 | Oasis Dental Ridgefield | Clinic/Center | 11 S. 47th Ave. Suite 101, Ridgefiled, WA 98642 | 2020-05-29 |
1063055895 | Rosauers Supermarkets Inc | Pharmacy | 101 S. 47th Avenue, Ridgefield, WA 98642 | 2019-10-24 |
1619459070 | Alina Gwin Johnson | Behavioral Analyst | 2613 Ne 161st, Ridgefeild, WA 98642 | 2018-09-02 |
1710325675 | Dennis Herbert Gillespie | Dentist | 109 S. 65th Ave., Suite 104, Ridgefield, WA 98642 | 2013-06-12 |
1336423508 | Amanda Lepley | Counselor | 20107 Ne 29th Ave, Ridgefield, WA 98642 | 2011-10-05 |
1356462675 | Battle Ground Physical Therapy | Clinic/Center | 2 South 56th Place, Suite 100, Ridgefield, WA 98642 | 2007-04-03 |
1245365386 | Marilyn Kay Milestone | Midwife | 8004 So. 5th St., Ridgefield, WA 98642 | 2007-02-22 |
1346246303 | Samuel W Richard | Family Medicine | 8507 South 5th Street, Suite 113, Ridgefield, WA 98642 | 2005-06-23 |
1710264171 | Generations Counseling | Community/Behavioral Health | 2 South 56th Place, Suite 201-c, Ridgefield, WA 98642 | 2011-11-12 |
1164659488 | Jonas Aharoni | Internal Medicine | 5515 Pioneer St, Ridgefield, WA 98642 | 2009-06-12 |
Find all providers in zip 98642 |
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 |
---|---|---|---|---|
1205348364 | Carrie Martinsen | Massage Therapist | 3614 Nw 217th Way, Ridgefield, WA 98642-9318 | 2017-10-30 |
1396108114 | Stephan Ray | Massage Therapist | 915 S Highland St, Ridgefield, WA 98642-9343 | 2016-03-30 |
1376928044 | Lucy Peralta-hayes | Massage Therapist | 19 Crest Rd, Ridgefield, CT 06877-2114 | 2015-07-23 |
1104216613 | Laurie Lanza | Massage Therapist | 414 Pioneer St Ste 101, Ridgefield, WA 98642-4512 | 2015-02-04 |
1417393133 | Arthur William Lowe | Massage Therapist | 32803 Nw 41st Ave, Ridgefield, WA 98642-9787 | 2013-05-21 |
1003117482 | Kristin Taylor | Massage Therapist | 8507 S 5th St Ste 104, Ridgefield, WA 98642-3422 | 2010-11-16 |
1720216914 | Beverly J. Babcock | Massage Therapist | 1720 Pioneer St., Ridgefield, WA 98642-0015 | 2009-06-25 |
1770720609 | Michelle Marie Dragoo | Massage Therapist | 414 Pioneer St, Suite 102, Ridgefield, WA 98642-4512 | 2009-01-14 |
1184721862 | Mary Elizabeth Saccary | Massage Therapist | 35 Pheasant Ln, Ridgefield, CT 06877-1127 | 2006-09-17 |
1013331529 | Poiyee Mui | Massage Therapist | 540 Bergen Blvd, Ridgefield, NJ 07657-2802 | 2014-02-05 |
Find all providers in RIDGEFIELD |
City | RIDGEFIELD |
Zip Code | 98642 |
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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.