MRS. DOMINIQUE MARTIN-MITCHELL (NPI# 1346430006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346430006 |
| Entity Type | Individual |
| Full Name | MRS. DOMINIQUE MARTIN-MITCHELL |
| Credential | OTR/L |
| Practice Address |
17415 17th Ave E Spanaway WA 98387-5522 |
| Practice Telephone | 2535363274 |
| Mailing Telephone | 2535363274 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2007-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
00003270 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | INDUSTRIAL REHAB | 00003270 | 01 |
| Street Address |
17415 17TH AVE E |
| City | SPANAWAY |
| State | WA |
| Zip Code | 98387-5522 |
| 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 | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1316563299 | Team Vocational Services | Clinic/Center | 5608 17th Ave Nw Ste 596, Seattle, WA 98107-5232 | 2020-06-17 |
| 1871149534 | Body Talk, Inc | Clinic/Center | 1420 S Meridian Ste A, Puyallup, WA 98371-6914 | 2019-08-17 |
| 1982123394 | Sunnyside Community Hospital Association | Clinic/Center | 111 S 11th Ave Ste 321, Yakima, WA 98902-3273 | 2017-09-18 |
| 1255871299 | Power Up Therapy, LLC | Clinic/Center | 280 Nw Holly St, Suite 10, Issaquah, WA 98027-2815 | 2017-02-23 |
| 1053863035 | Kids In Motion Therapy Clinic | Clinic/Center | 4152 Meridian St Ste 105, Pmb 17, Bellingham, WA 98226-5589 | 2016-10-26 |
| 1043769441 | Corrie L Adams | Clinic/Center | 1831 8th Ave Apt 602, Seattle, WA 98101-4411 | 2016-09-26 |
| 1275871618 | Pushing Boundaries | Clinic/Center | 4162 148th Ave Ne, Redmond, WA 98052-5164 | 2013-01-18 |
| 1366790560 | Bothell Pediatric and Hand Therapy | Clinic/Center | 18606 Bothell Way Ne, Bothell, WA 98011-1929 | 2012-08-17 |
| 1881827392 | Brainstorm Rehabilitation, LLC | Clinic/Center | 109 E 3rd Ave Ste 1, Ellensburg, WA 98926-3357 | 2009-08-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. DOMINIQUE MARTIN-MITCHELL.
| 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.