CLEO B BLOOMQUIST (NPI# 1265462147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265462147 |
| Entity Type | Individual |
| Full Name | CLEO B BLOOMQUIST |
| Other Name | CLEO BETTINGER |
| Credential | PT |
| Practice Address |
16030 Bothell Everett Hwy Ste 140 Mill Creek WA 98012-1273 |
| Mailing Address |
8510 186th St Sw Edmonds WA 98026-5733 |
| Practice Telephone | 4253389005 |
| Practice Fax Number | 4263370931 |
| Mailing Telephone | 4257782084 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
PT00003405 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8367559 | 05 | |
| WA | REGENCE PIN# | BL5114 | 01 |
| Street Address |
16030 BOTHELL EVERETT HWY STE 140 |
| City | MILL CREEK |
| State | WA |
| Zip Code | 98012-1273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619521515 | Bianca Fox | Physical Therapist | 16030 Bothell Everett Hwy Ste 140, Mill Creek, WA 98012-1273 | 2019-07-29 |
| 1083184972 | Lauren Mccarthy | Occupational Therapist | 16030 Bothell Everett Hwy Ste 140, Mill Creek, WA 98012-1273 | 2018-12-04 |
| 1801361951 | Mary Davis | Speech-Language Pathologist | 16030 Bothell Everett Hwy Ste 140, Mill Creek, WA 98012-1273 | 2018-10-04 |
| 1306141205 | Theresa Larsson | Speech-Language Pathologist | 16030 Bothell Everett Hwy Ste 140, Mill Creek, WA 98012-1273 | 2011-01-24 |
| 1407169410 | Kali Elizabeth Glynn | Speech-Language Pathologist | 16030 Bothell Everett Hwy Ste 140, Mill Creek, WA 98012-1273 | 2010-07-19 |
| 1396882163 | Kathryn Touch | Speech-Language Pathologist | 16030 Bothell Everett Hwy Ste 140, Mill Creek, WA 98012-1273 | 2007-01-31 |
| 1730276213 | Katherine J. Skog | Occupational Therapist | 16030 Bothell Everett Hwy Ste 140, Mill Creek, WA 98012-1273 | 2006-10-06 |
| 1477644029 | Janice K. Stoppleworth | Speech-Language Pathologist | 16030 Bothell Everett Hwy Ste 140, Mill Creek, WA 98012-1273 | 2006-09-27 |
| 1609883099 | Amy Herrick Baker | Speech-Language Pathologist | 16030 Bothell Everett Hwy Ste 140, Mill Creek, WA 98012-1273 | 2006-08-01 |
| 1588698633 | Vicki A Schwartz | Physical Therapist | 16030 Bothell Everett Hwy Ste 140, Mill Creek, WA 98012-1273 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1528384203 | Barbara Seel Couvrette | Physical Therapist | 16030 Bothell Everett Hwy, #140, Mill Creek, WA 98012-1741 | 2010-04-20 |
| 1588698633 | Vicki A Schwartz | Physical Therapist | 16030 Bothell Everett Hwy Ste 140, Mill Creek, WA 98012-1273 | 2006-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421280 | Nattika Detskultorn | Physical Therapist | 1301 4th Ave Nw Ste 100, Issaquah, WA 98027-9371 | 2020-09-14 |
| 1730704883 | The Mama and Baby Mobility Project | Physical Therapist | 2510 164th St Sw Apt E107, Lynnwood, WA 98087-7836 | 2020-06-15 |
| 1659854784 | Brady Glenn Christoph | Physical Therapist | Auburn School District, 29205 132nd Ave Se, Auburn, WA 98092 | 2018-09-14 |
| 1952760175 | Sharon Worden | Physical Therapist | 5005 Main St Apt 812, Tacoma, WA 98407-3166 | 2016-02-16 |
| 1619378643 | Angela Fritz | Physical Therapist | 2411 42nd Ave E, 177 G, Seattle, WA 98112-2547 | 2014-09-09 |
| 1053751669 | Katie Buck | Physical Therapist | 3801 Kern Road, Yakima, WA 98902-6340 | 2013-06-27 |
| 1063753846 | Christen L Davidson-juhnke | Physical Therapist | 1384 Havstad Dr, Walla Walla, WA 99362-9235 | 2013-03-04 |
| 1083950455 | Lalani Shelton | Physical Therapist | 1000 Lake Park Dr Sw, Tumwater, WA 98512-6912 | 2012-12-12 |
| 1568715209 | Janis Kathrein | Physical Therapist | 17119 Se 351st St, Auburn, WA 98092-3906 | 2012-10-18 |
| 1154673036 | Elisabeth Courtenay Johnson | Physical Therapist | 1712 South 17th Street, Tacoma, WA 98405 | 2012-10-03 |
| Find all providers with the same taxonomy | ||||
| City | MILL CREEK |
| Zip Code | 98012 |
Please comment or provide details below to improve the information on CLEO B BLOOMQUIST.
| 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.