AMBIANCE MASSAGE & SPA, LTD (NPI# 1285934810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285934810 |
| Entity Type | Organization |
| Organization Name | AMBIANCE MASSAGE & SPA, LTD |
| Practice Address |
501 N Broadway St Aberdeen WA 98520-3924 |
| Mailing Address |
Po Box 1244 Aberdeen WA 98520-0246 |
| Practice Telephone | 3605375914 |
| Practice Fax Number | 3605321059 |
| Mailing Telephone | 3605375914 |
| Mailing Fax Number | 3605321059 |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2010-10-29 |
| Authorized Official Name | MRS. KRYSTAL LYNN SHOPE (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3605375914 |
| Authorized Official Credential | LMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00019187 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
501 N BROADWAY ST |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417262874 | Linsey Lee Bale | Specialist | 501 N Broadway St, Aberdeen, WA 98520-3924 | 2010-08-10 |
| 1952908527 | Anna Diane Morris | Counselor | 501 N Broadway St, Aberdeen, WA 98520-3924 | 2020-10-06 |
| 1700411816 | Eugenia Center | Clinic/Center | 501 N Broadway St, Aberdeen, WA 98520-3924 | 2020-03-09 |
| 1588089122 | Shelby Musser | Massage Therapist | 501 N Broadway St, Aberdeen, WA 98520-3924 | 2014-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| 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 |
|---|---|---|---|---|
| 1457950305 | Aj Denzel Henry | Massage Therapist | 44 Polk St, Aberdeen, MD 21001-2589 | 2020-10-21 |
| 1518571439 | Andrea Winzer | Massage Therapist | 209 Cashel Dr, Aberdeen, NJ 07747-2216 | 2020-09-08 |
| 1497390942 | Russell Ivan Kimball | Massage Therapist | 202 S Main St Ste 450, Aberdeen, SD 57401-4114 | 2019-11-07 |
| 1437689627 | Brandy M Retallack | Massage Therapist | 22 N Philadelphia Blvd, Aberdeen, MD 21001-2511 | 2017-06-19 |
| 1770011587 | Brooke Mercedes Wilson | Massage Therapist | 301 N Broadway St Ste 2, Aberdeen, WA 98520-3933 | 2017-05-24 |
| 1831635077 | Suzanna Vreeland | Massage Therapist | 28 Balmoral Ct, Aberdeen, NJ 07747-1854 | 2017-01-11 |
| 1992164792 | Donna Stephens Johnson | Massage Therapist | 250 Magnolia Square Ct, Aberdeen, NC 28315-2226 | 2016-02-22 |
| 1497148761 | Jayla Ann Muhlhauser | Massage Therapist | 601 S Boone St, Suite 2, Aberdeen, WA 98520-8504 | 2015-03-11 |
| 1891054342 | Arielle N Brasel | Massage Therapist | 5912 Central Park Dr, Aberdeen, WA 98520 | 2012-05-03 |
| 1417237744 | Karen Diane Erickson-ensslin | Massage Therapist | 601 S. Boone Street, Suite #2, Aberdeen, WA 98520 | 2011-08-18 |
| Find all providers in ABERDEEN | ||||
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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.