MRS. KATHRYN G SMITH (NPI# 1235569864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235569864 |
| Entity Type | Individual |
| Full Name | MRS. KATHRYN G SMITH |
| Credential | LMT |
| Practice Address |
5909 W State St Boise ID 83703-3039 |
| Practice Telephone | 2083437700 |
| Practice Fax Number | 2083312591 |
| Mailing Telephone | 2083437700 |
| Mailing Fax Number | 2083312591 |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MASG-1268 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134670284 | Kathryn Marie Smith | Nurse Practitioner | 511 South Main St, Sheffield, PA 16347 | 2016-10-24 |
| 1982041679 | Kathryn Sk Smith | Occupational Therapist | 2832 Stonehaven Dr, Fort Collins, CO 80525-5683 | 2013-06-04 |
| 1710226618 | Kathryn S Smith | Social Worker | 5923 W 92nd Pl, Westminster, CO 80031-6505 | 2013-02-12 |
| 1841537206 | Kathryn Naomi Smith | Occupational Therapist | 478 Halladay Ave W, Suffield, CT 06078-1006 | 2013-01-04 |
| 1073875936 | Kathryn Smith | Dentist | 1960 Daniel Stuart Sq, Woodbridge, VA 22191-3314 | 2012-06-15 |
| 1447568878 | Kathryn L. Smith | Psychologist | 209 N 35th St Ste B-2, Morehead City, NC 28557-3183 | 2010-09-20 |
| 1447572441 | Kathryn L Smith | Nurse Practitioner | 11104 Parkview Circle Dr Ste 20, Fort Wayne, IN 46845-1733 | 2010-02-18 |
| 1336391317 | Kathryn Elaine Smith | Licensed Practical Nurse | 1607 Beaver Creek Rd, West Edmeston, NY 13485-2707 | 2008-10-21 |
| 1013165547 | Kathryn Elizabeth Smith | Optometrist | 6818 Heuermann Rd, San Antonio, TX 78256-9603 | 2008-09-09 |
| 1871760835 | Kathryn Ruth Smith | Naturopath | 5331 Sw Macadam Ave Ste 285, Portland, OR 97239-3849 | 2008-05-09 |
| Street Address |
5909 W STATE ST |
| City | BOISE |
| State | ID |
| Zip Code | 83703-3039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164684585 | Jenny M Berryhill | Physical Therapist | 5909 W State St, Boise, ID 83703-3039 | 2008-06-26 |
| 1932754496 | Evan Gustavsen | Physical Therapist | 5909 W State St, Boise, ID 83703-3039 | 2019-08-01 |
| 1447815014 | Davida Helene Mitchell | Acupuncturist | 5909 W State St, Boise, ID 83703-3039 | 2019-05-08 |
| 1467914036 | Jesse Dale Newman | Physical Therapy Assistant | 5909 W State St, Boise, ID 83703-3039 | 2019-04-03 |
| 1619468543 | Jason Epp | Massage Therapist | 5909 W State St, Boise, ID 83703-3039 | 2018-05-26 |
| 1659872208 | Kenneth Andrew Mcmanus | Massage Therapist | 5909 W State St, Boise, ID 83703-3039 | 2018-02-27 |
| 1467952549 | Jennifer R Thomsen | Physical Medicine & Rehabilitation | 5909 W State St, Boise, ID 83703-3039 | 2018-02-15 |
| 1649778978 | Esther Winn | Physical Therapist | 5909 W State St, Boise, ID 83703-3039 | 2018-02-01 |
| 1851654792 | Lauren Mariet Wolfinger | Physical Therapist | 5909 W State St, Boise, ID 83703-3039 | 2012-06-15 |
| 1720317548 | Betsy K Wiss | Acupuncturist | 5909 W State St, Boise, ID 83703-3039 | 2009-12-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386203974 | Dylan Roy | Chiropractor | 5632 W State Street, Boise, ID 83703 | 2019-06-07 |
| 1124476858 | Tidwell Social Work Services and Consulting, Inc. | Community/Behavioral Health | 5999 W. State St., Boise, ID 83703 | 2016-06-03 |
| 1801251244 | Rebecca Lynn Cushing | Massage Therapist | 5909 W. State St, Boise, ID 83703 | 2015-12-30 |
| 1790181675 | Malinda Poe | Counselor | 4440 W Taft St, Boise, ID 83703 | 2014-11-05 |
| 1689079469 | Ashley Harker | Massage Therapist | 5909 W. State St., Boise, ID 83703 | 2014-10-23 |
| 1770987844 | Brick House Recovery | Counselor | 3663 N Lakeharbor Ln, Boise, ID 83703 | 2014-10-17 |
| 1033512538 | Ryan Warburton | Physical Therapist | 2999 N Lakeshore Lane, Ste 120, Boise, ID 83703 | 2014-09-29 |
| 1710386008 | Suzanne Iannaccone | Social Worker | 4090 W State St Ste 221, Boise, ID 83703 | 2014-08-22 |
| 1588092464 | Becky L. Marks | Social Worker | 3858 N. Garden Center Way, Suite 204, Boise, ID 83703 | 2013-10-31 |
| 1700219169 | Pohley Richey | Dietitian, Registered | 6052 W State Street, Boise, ID 83703 | 2013-08-20 |
| Find all providers in zip 83703 | ||||
| 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 |
|---|---|---|---|---|
| 1588288344 | Elizabeth S Rogers-buuck | Massage Therapist | 5333 W Franklin Rd Ste C, Boise, ID 83705-1119 | 2020-06-07 |
| 1396369781 | Tina Marie Wright | Massage Therapist | 38 Mores Creek Cir, Boise, ID 83716-3026 | 2020-06-02 |
| 1669094348 | Lisa Marie Piscopo | Massage Therapist | 4940 E Mill Station Dr, Boise, ID 83716-8628 | 2020-05-15 |
| 1326688524 | Justin Kobbe Solace | Massage Therapist | 919 N 27th St Ste A, Boise, ID 83702-2130 | 2020-01-15 |
| 1679111090 | Veronica Renee Roby | Massage Therapist | 2034 E Independence Dr, Boise, ID 83706-5472 | 2019-12-16 |
| 1659838126 | Monica Tenaya | Massage Therapist | 1915 E Roanoke Dr, Boise, ID 83712-7528 | 2019-02-21 |
| 1750846382 | Katheryn Rekow | Massage Therapist | 1390 S Maple Grove Rd # 200, Boise, ID 83709-1610 | 2019-02-07 |
| 1114495868 | Angela Hastings | Massage Therapist | 6901 W Emerald St Ste 206, Boise, ID 83704-8660 | 2018-11-09 |
| 1861967275 | Chelsi Michaelyn Layton | Massage Therapist | 1625 W State St Ste 100, Boise, ID 83702-4003 | 2018-10-11 |
| 1346724366 | Deann L Holexa | Massage Therapist | 4485 N Dresden Pl, Boise, ID 83714-1379 | 2018-09-17 |
| Find all providers in BOISE | ||||
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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.