MRS. GEORGIA LEANN FAHL (NPI# 1174130793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174130793 |
| Entity Type | Individual |
| Full Name | MRS. GEORGIA LEANN FAHL |
| Credential | LMT |
| Practice Address |
122 5th Ave S # 122b Edmonds WA 98020-3423 |
| Mailing Address |
23306 Edmonds Way Apt G206 Edmonds WA 98026-8658 |
| Practice Telephone | 7078120669 |
| Mailing Telephone | 7078120669 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA61102809 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
122 5TH AVE S # 122B |
| City | EDMONDS |
| State | WA |
| Zip Code | 98020-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538688189 | Jennifer Ducharme | Massage Therapist | 51 W. Dayton St 304, Edmonds, WA 98020 | 2017-09-14 |
| 1164959987 | Emily Grooms | Counselor | 406 Main St Ste 115c, Edmonds, WA 98020 | 2017-05-11 |
| 1427449255 | Victoria Janssen | Registered Nurse | 2225 95th Pl W, Edmonds, WA 98020 | 2015-02-16 |
| 1922496553 | Paktia Pharmacy LLC | Pharmacy | 315 5th Ave S Unit #c, Edmonds, WA 98020 | 2015-01-06 |
| 1770928491 | Sarah Campbell | Counselor | 10016 Edmonds Way, Ste C #185, Edmonds, WA 98020 | 2013-05-08 |
| 1568765170 | Sondra Beres | Marriage & Family Therapist | 300 Admiral Way Ste 203, Edmonds, WA 98020 | 2010-12-21 |
| 1649586777 | Kelly Druin Sievertson | Social Worker | 144 Railroad Ave, Suite 212, Edmonds, WA 98020 | 2010-08-26 |
| 1588817233 | Everard Jimenez Espinosa | Anesthesiology | 911-12th Ave. North, Edmonds, WA 98020 | 2008-10-28 |
| 1811109705 | Dawud Raamah | Dentist | 7935 216th St Sw # D, # D, Edmonds, WA 98020 | 2007-05-04 |
| 1437225430 | Edmonds Vision Center Ps Inc | Optometrist | 201 5th Ave S Ste 102, Edmonds, WA 98020 | 2006-11-28 |
| Find all providers in zip 98020 | ||||
| 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 |
|---|---|---|---|---|
| 1912514498 | Shannon Hart | Massage Therapist | 122 5th Ave S, Edmonds, WA 98020-3423 | 2020-09-28 |
| 1154969780 | Alsia Soiset LLC | Massage Therapist | 23519 88th Ave W, Edmonds, WA 98026-8619 | 2019-12-13 |
| 1619444031 | Aiyana Aisha Taryn White | Massage Therapist | 525 5th Ave S Ste 102, Edmonds, WA 98020-3612 | 2018-10-24 |
| 1578060125 | Colleen Reeves | Massage Therapist | 51 W Dayton St Ste 304, Edmonds, WA 98020-4111 | 2018-04-10 |
| 1821590266 | Donna Cugini | Massage Therapist | 210 5th Ave S Ste 207, Edmonds, WA 98020-3625 | 2018-03-01 |
| 1538688189 | Jennifer Ducharme | Massage Therapist | 51 W. Dayton St 304, Edmonds, WA 98020 | 2017-09-14 |
| 1144674839 | Deborah Pedrola | Massage Therapist | 6615 Marine View Dr, Edmonds, WA 98026-3120 | 2016-04-19 |
| 1629431697 | Tina Marie Palmer | Massage Therapist | 10702 Robin Hood Dr, Edmonds, WA 98020-6162 | 2016-03-29 |
| 1881065936 | Ryan L Ashbridge | Massage Therapist | 8015 213th St Sw, Edmonds, WA 98026-7452 | 2015-10-15 |
| 1891175899 | Optimal Health Chiropractic | Massage Therapist | 7315 212th St Sw Ste 203, Edmonds, WA 98026-7610 | 2015-06-04 |
| Find all providers in EDMONDS | ||||
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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.