MRS. SUSAN MELISSA MACK (NPI# 1235492356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235492356 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN MELISSA MACK |
| Credential | L.M.P. |
| Practice Address |
18407 Pacific Ave S Spanaway WA 98387-8374 |
| Practice Telephone | 2538476000 |
| Practice Fax Number | 2538462757 |
| Mailing Telephone | 2538476000 |
| Mailing Fax Number | 2538462757 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 60155482 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790082436 | Susan L Mack | Homeopath | 6484 Ford Rd, Flowery Branch, GA 30542-2636 | 2011-02-15 |
| 1669616793 | Susan Mack | Speech-Language Pathologist | 15 Dovehill Cir, Penfield, NY 14526-1981 | 2009-04-20 |
| 1003808270 | Susan Ann Mack | Nurse Practitioner | 514 Teela Ln, Des Plaines, IL 60016-1230 | 2005-08-16 |
| 1356596217 | Susan Mack | Occupational Therapist | 4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 | 2008-11-19 |
| 1093986747 | Susan Mack | Social Worker | 107 S 5th St, Richmond, VA 23219-3825 | 2008-03-20 |
| 1396955316 | Susan J Mack | Nurse Practitioner | 929 Stacy Burk Drive, Flora, IL 62839 | 2007-05-22 |
| 1750490538 | Susan M Mack | Physical Therapist | 1830 112th St E, Ste D, Tacoma, WA 98445-3747 | 2006-08-29 |
| Street Address |
18407 PACIFIC AVE S |
| City | SPANAWAY |
| State | WA |
| Zip Code | 98387-8374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487711826 | Rainier Health Services Inc. | Chiropractor | 18407 Pacific Ave S, 11-a, Spanaway, WA 98387-8374 | 2007-01-03 |
| 1750711669 | Carina Ulrich | Massage Therapist | 18407 Pacific Ave S, Suite 2, Spanaway, WA 98387 | 2013-11-14 |
| 1932532678 | Jing Hua Cui | Massage Therapist | 18407 Pacific Ave S, Suite 2, Spanaway, WA 98387-8374 | 2013-08-16 |
| 1518013051 | Jenelle Maureen Bartusch | Specialist | 18407 Pacific Ave S, Suite A11, Spanaway, WA 98387-8374 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124673934 | Mckenzie L Cooper | Behavioral Analyst | 27421 30th Ave E, Spanaway, WA 98387 | 2019-08-08 |
| 1902467442 | Lindsey Taylor Reynolds | Speech-Language Pathologist | Bethel High School, 22215 38th Ave E, Spanaway, WA 98387 | 2019-06-25 |
| 1700353299 | David York | Chiropractor | 18407 Pacific Avenue, Suite A-11, Spanaway, WA 98387 | 2018-11-01 |
| 1730669391 | Lindsey Copus | Speech-Language Pathologist | 516 176th E, Spanaway, WA 98387 | 2018-08-14 |
| 1023531720 | Rebecca Susan Callaway | Behavioral Analyst | 4606 216th St Ct E, Spanaway, WA 98387 | 2017-07-25 |
| 1780093666 | Ramandeep Grewal | Pharmacist | 20307 Mountain Hwy W, Spanaway, WA 98387 | 2014-08-05 |
| 1730464223 | Dawn Michelle Johnson | Counselor | 7714 197th Street Ct E, Spanaway, WA 98387 | 2011-10-15 |
| 1982929469 | Abracadabra Recovery Inc | Community/Behavioral Health | 18407 Pacific Avenue South, Spanaway, WA 98387 | 2010-03-29 |
| 1932348810 | Christine Ann Uhl | Specialist | 8306 205th St Ct East, Spanaway, WA 98387 | 2009-02-17 |
| 1205072659 | Karen Lynn Iverson | Specialist | 5410 184th. Street East, Bethel Schools, Spanaway, WA 98387 | 2009-01-06 |
| Find all providers in zip 98387 | ||||
| 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 |
|---|---|---|---|---|
| 1396360087 | Dominique Felice Smallwood | Massage Therapist | 17015 4th Ave S, Spanaway, WA 98387-8722 | 2020-06-09 |
| 1851942809 | Nicholle Louise Jiggetts | Massage Therapist | 19911 14th Ave E, Spanaway, WA 98387-8111 | 2019-09-20 |
| 1871012674 | Sarah Ann Nixon | Massage Therapist | 18407 Pacific Ave S Ste A11, Spanaway, WA 98387-8374 | 2017-09-12 |
| 1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
| 1700236270 | Michelle Mcnamara | Massage Therapist | 3915 231st Street Ct E, Spanaway, WA 98387-6911 | 2016-06-15 |
| 1306225040 | Cheryl Greenland | Massage Therapist | 4011 246th Street Ct E, Spanaway, WA 98387-7060 | 2015-05-27 |
| 1104220656 | Kimberlynn Marie Chandler-mcdaniel | Massage Therapist | 927 173rd St S, Spanaway, WA 98387-8997 | 2014-10-13 |
| 1366853822 | Elisabeth Williams | Massage Therapist | 5106 200th Street Ct E, Spanaway, WA 98387-5750 | 2014-05-17 |
| 1053655068 | Lorenda Faye Dilka | Massage Therapist | 1317 149th St S, Spanaway, WA 98387-8842 | 2012-11-15 |
| 1396096459 | Nongyaou Woeppel | Massage Therapist | 3019 221st Street Ct E, Spanaway, WA 98387-7354 | 2012-09-28 |
| Find all providers in SPANAWAY | ||||
Please comment or provide details below to improve the information on MRS. SUSAN MELISSA MACK.
| 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.