KOLAE MICHELLE DAVENPORT (NPI# 1215315767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215315767 |
| Entity Type | Individual |
| Full Name | KOLAE MICHELLE DAVENPORT |
| Credential | LMP |
| Practice Address |
500 S Pines Rd Spokane Valley WA 99206-5324 |
| Practice Telephone | 5099278881 |
| Practice Fax Number | 5098916281 |
| Mailing Telephone | 5099278881 |
| Mailing Fax Number | 5098916281 |
| Enumeration Date | 2015-05-15 |
| Last Update Date | 2015-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60503389 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
500 S PINES RD |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99206-5324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336377852 | Craig D. Anglesey | Chiropractor | 500 S Pines Rd, Spokane Valley, WA 99206-5324 | 2009-06-23 |
| 1891273371 | Andria Delgado | Massage Therapist | 500 S Pines Rd, Spokane Valley, WA 99206-5324 | 2018-08-06 |
| 1790288298 | Nikka Yankus | Massage Therapist | 500 S Pines Rd, Spokane Valley, WA 99206-5324 | 2018-03-12 |
| 1922456466 | Carrie Anglesey | Massage Therapist | 500 S Pines Rd, Spokane Valley, WA 99206-5324 | 2016-05-25 |
| 1255797742 | Ian Anthony Surginer | Massage Therapist | 500 S Pines Rd, Spokane Valley, WA 99206-5324 | 2016-01-13 |
| 1861869851 | Lauren Symon Steinert | Massage Therapist | 500 S Pines Rd, Spokane Valley, WA 99206-5324 | 2015-08-26 |
| 1508256405 | Jessica Leann Grimmett | Massage Therapist | 500 S Pines Rd, Spokane Valley, WA 99206-5324 | 2015-01-29 |
| 1902216179 | Deanna Cree | Massage Therapist | 500 S Pines Rd, Spokane Valley, WA 99206-5324 | 2014-04-28 |
| 1396087615 | Cindy Jo Keblbek | Massage Therapist | 500 S Pines Rd, Spokane Valley, WA 99206-5324 | 2013-03-25 |
| 1356680045 | Shamoree Erin Fletcher | Massage Therapist | 500 S Pines Rd, Spokane Valley, WA 99206-5324 | 2013-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913495 | Ea Healing Arts LLC | Acupuncturist | 210 N University Rd, Ste 200, Spokane Valley, WA 99206 | 2020-05-16 |
| 1922659630 | Creative Harmony Counseling LLC | Counselor | 721 N Pines Road, Spokane, WA 99206 | 2019-09-24 |
| 1477027092 | Hunter Badgley | Counselor | 721 N Pines Rd Ste 2, Spokane Valley, WA 99206 | 2019-01-16 |
| 1851880934 | Ryan Bushman | Dentist | 919 N Pines Rd, Spokane Valley, WA 99206 | 2018-05-04 |
| 1902307531 | Lois Jensen | Counselor | 3507 S. Spotted Rd., Spokane, WA 99206 | 2018-02-28 |
| 1295258804 | Melissa Ann Reamer | Speech-Language Pathologist | 2510 N. Pines Rd., Ste. 3, Spokane Valley, WA 99206 | 2017-07-25 |
| 1730619149 | Amanda Kathryn Fuchs | Counselor | 200 N Mullan Rd Ste 219, Spokane Valley, WA 99206 | 2017-06-18 |
| 1588105308 | Pine Ridge Management Wa LLC | Assisted Living Facility | 5615 West Umatilla, Spokane, WA 99206 | 2017-03-13 |
| 1427405893 | Sarah Winn | Counselor | 721 N Pines, Spokane Valley, WA 99206 | 2016-05-16 |
| 1134573199 | Elzbieta H Anderson | Acupuncturist | 210 N University Rd Ste 200, Spokane Valley, WA 99206 | 2016-04-15 |
| Find all providers in zip 99206 | ||||
| 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 |
|---|---|---|---|---|
| 1295345346 | Michael Frederick Jackson | Massage Therapist | 12702 E 33rd Ct, Spokane Valley, WA 99206-8372 | 2020-08-04 |
| 1669081246 | Kathryn Arlene Nicholas | Massage Therapist | 18609 E Maxwell Ave, Spokane Valley, WA 99016-8538 | 2020-07-29 |
| 1891328647 | Benjamin Stockton Gaines | Massage Therapist | 13701 E Sprague Ave Ste B417w1, Spokane Valley, WA 99216-0811 | 2020-02-20 |
| 1386276582 | Tawny S Bolding | Massage Therapist | 8923 E Mission Ave, Spokane Valley, WA 99212-2533 | 2020-02-06 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356991764 | Andrea Moore | Massage Therapist | 12308 E Broadway Ave Ste 4, Spokane Valley, WA 99216-2920 | 2019-09-17 |
| 1538628920 | Luke Andrew Kagarice | Massage Therapist | 11717 E Mission Ave, Spokane Valley, WA 99206-4829 | 2019-03-15 |
| 1710482914 | Megan Renee Diaz | Massage Therapist | 3002 N Woodruff Rd, Spokane Valley, WA 99206-4357 | 2018-03-28 |
| 1750889580 | Melissa Lerai Lunsford | Massage Therapist | 1212 N Argonne Rd, Spokane Valley, WA 99212 | 2018-01-26 |
| 1548775638 | Ashlyn Kaye Green | Massage Therapist | 826 N Mullan Rd Ste A, Spokane Valley, WA 99206-4094 | 2017-12-11 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99206 |
Please comment or provide details below to improve the information on KOLAE MICHELLE DAVENPORT.
| 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.