MELISSA ANN PETERSEN (NPI# 1255537585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255537585 |
| Entity Type | Individual |
| Full Name | MELISSA ANN PETERSEN |
| Credential | LMT |
| Practice Address |
3217 Meridian Ave E Edgewood WA 98371 |
| Mailing Address |
3217 Meridian Ave E Edgewood WA 98371-2613 |
| Practice Telephone | 2539275905 |
| Practice Fax Number | 2533210219 |
| Mailing Telephone | 2539275905 |
| Mailing Fax Number | 2533210219 |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2018-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00020445 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144860917 | Melissa Edwards Petersen | Clinical Neuropsychologist | 855 Montgomery St, Fort Worth, TX 76107-2553 | 2020-01-09 |
| 1245783893 | Melissa J Petersen | Marriage & Family Therapist | 543 Plumas St, Reno, NV 89509 | 2016-08-01 |
| 1235513128 | Melissa Petersen | Physician Assistant | 4300 Alton Rd Ste 2110, Miami Beach, FL 33140-2948 | 2015-07-10 |
| 1306195045 | Melissa Anne Petersen | Speech-Language Pathologist | 20420 68th Ave W, Lynnwood, WA 98036-7405 | 2012-09-07 |
| 1952542870 | Melissa Petersen | Dentist | 2950 Eureka Way, Redding, CA 96001-0200 | 2009-03-24 |
| 1215106042 | Melissa T Petersen | Nurse Practitioner | 315 Winn Way, Decatur, GA 30030-2111 | 2008-02-26 |
| Street Address |
3217 MERIDIAN AVE E |
| City | EDGEWOOD |
| State | WA |
| Zip Code | 98371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073600375 | John P Frostad | Acupuncturist | 3217 Meridian Ave E, Edgewood, WA 98371-2613 | 2006-10-06 |
| 1609311547 | Monica Michelle Szelachowski | Acupuncturist | 3217 Meridian Ave E, Edgewood, WA 98371-2613 | 2017-01-02 |
| 1780032276 | Conti Chiropractic Pllc | Chiropractor | 3217 Meridian Ave E, Edgewood, WA 98371-2613 | 2016-05-25 |
| 1376740878 | Edgewood Natural Health, LLC | Massage Therapist | 3217 Meridian Ave E, Edgewood, WA 98371-2613 | 2007-06-28 |
| 1538281563 | Ronald Frank Conti | Chiropractor | 3217 Meridian Ave E, Edgewood, WA 98371-2613 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588141550 | Karen Lynn Sorensen | Massage Therapist | 922 Valley Ave Nw Suite 101, Puyallup, WA 98371 | 2018-07-23 |
| 1487140257 | Bradley Dupea | Specialist/Technologist | 5702 44th St Se, Puyallup, WA 98371 | 2018-07-05 |
| 1740778695 | Pedraum Heydari | Dentist | 109 N Meridian Suite A, Puyallup, WA 98371 | 2018-04-26 |
| 1487030359 | Jennifer Block | Dental Hygienist | 601 4th Ave Sw, Puyallup, WA 98371 | 2015-08-03 |
| 1023423431 | On Your Own Inc. | Registered Nurse | 1602 Peach Park Ln Nw, Puyallup, WA 98371 | 2014-06-24 |
| 1841614997 | Enrique Somera | Registered Nurse | 1107 29th St Nw, Puyallup, WA 98371 | 2014-02-10 |
| 1033540893 | Ching Ju Chuang | Dentist | 1002 N. Meridian, Suite 104a, Puyallup, WA 98371 | 2013-12-04 |
| 1104161876 | Denise L. Vanaman | Registered Nurse | 214 W. Main, Puyallup, WA 98371 | 2012-12-06 |
| 1336491018 | Tacoma School District | Physical Therapy Assistant | 1721 8th Ave. S.w., Puyallup, WA 98371 | 2012-10-05 |
| 1275882052 | Robert Francis Saxton | Health Educator | 1121 W. Stewart, Puyallup, WA 98371 | 2012-09-07 |
| Find all providers in zip 98371 | ||||
| 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 |
|---|---|---|---|---|
| 1356742092 | Nathan Gray | Massage Therapist | 11923 22nd Street Ct E, Edgewood, WA 98372-1649 | 2014-09-12 |
| 1871934034 | Elizabeth C Christensen | Massage Therapist | 1917 Old Us 66, Suite G, Edgewood, NM 87015-6762 | 2013-07-16 |
| 1558663914 | Paulette Kathleen Wiesinger | Massage Therapist | 11804 County Line Rd, Edgewood, WA 98372-1255 | 2010-11-17 |
| 1265619316 | Bonnie Janette Harrison | Massage Therapist | 3307 Meridian Ave E, Edgewood, WA 98371-2609 | 2008-01-30 |
| 1598899908 | Cheryl Lynn Phillips | Massage Therapist | 2121 Meridian Ave E, Suite 9, Edgewood, WA 98371-1006 | 2007-03-15 |
| 1952939159 | Mika R Brown | Massage Therapist | 1020 Edgewood Rd, Edgewood, MD 21040-1606 | 2020-04-01 |
| 1104477272 | Josephine D Bruenn | Massage Therapist | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2019-09-20 |
| 1023668878 | Monica Bruenn | Massage Therapist | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2019-09-13 |
| 1497196182 | Mollijoy Arlene Boersema | Massage Therapist | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2013-07-10 |
| 1851633135 | Tracey Hughes | Massage Therapist | 1 Linnie Ct, Edgewood, NM 87015-9125 | 2013-03-25 |
| Find all providers in EDGEWOOD | ||||
Please comment or provide details below to improve the information on MELISSA ANN PETERSEN.
| 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.