MRS. MIKKI R BOSMAN (NPI# 1356521405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356521405 |
| Entity Type | Individual |
| Full Name | MRS. MIKKI R BOSMAN |
| Other Name | MRS. MIKKI R NELSON |
| Credential | LMP |
| Practice Address |
5515 93rd Ave Se Olympia WA 98513 |
| Mailing Address |
Po Box 237 East Olympia WA 98540-0237 |
| Practice Telephone | 2537203210 |
| Mailing Telephone | 2537203210 |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2011-03-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00022215 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5515 93RD AVE SE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760095962 | Katrina-nadine Maanao Perez | Occupational Therapist | Meadows Elementary School, 836 Deerbrush Drive Se, Lacey, WA 98513 | 2020-08-26 |
| 1679056824 | Katharine Loco-marshall | Physician Assistant | 4816 She-nah-num Drive, Olympia, WA 98513 | 2018-09-13 |
| 1881113439 | Riley Cruz | Massage Therapist | 10135 Stedman Rd Se, Olympia, WA 98513 | 2017-09-14 |
| 1174071948 | Kirby Healthcare, LLC | Nursing Care | 244 Dutterow Rd Se, Olympia, WA 98513 | 2016-09-21 |
| 1477980134 | Angela Karr | Pharmacist | 4918 Balustrade Blvd Se, Lacey, WA 98513 | 2013-09-26 |
| 1174875876 | Sheila Lynn Emmons | Massage Therapist | 8321 Valley Green Dr., Olympia, WA 98513 | 2012-10-05 |
| 1407081391 | Nicole Justine Adamson | Chiropractor | 4631 Whitman Lane, Suite B, Lacey, WA 98513 | 2009-05-20 |
| 1568628410 | Molly Carolyn Ostrander | Counselor | 5026 70th Way South East, Lacey, WA 98513 | 2008-07-31 |
| 1063674430 | Wayne Lawrence Franks | Counselor | 4816 She-nah-num Drive Se, Nisqually Indiantribe, Olympia, WA 98513 | 2008-06-27 |
| 1235261298 | Susan Holland | Massage Therapist | 5635 Berger Pl Se, Olympia, WA 98513 | 2007-03-12 |
| Find all providers in zip 98513 | ||||
| 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 |
|---|---|---|---|---|
| 1801407002 | Jutta Fonseca | Massage Therapist | 8604 Pacific Ave Se, Olympia, WA 98513-2008 | 2020-08-11 |
| 1497381255 | Liliana Montoya | Massage Therapist | 9944 62nd Ave Se Apt B, Olympia, WA 98513-9253 | 2020-03-12 |
| 1093356024 | Brooke E Riley | Massage Therapist | 309 4th Ave E, Olympia, WA 98501-1106 | 2019-10-01 |
| 1053965277 | Shannon Janelle Edwards | Massage Therapist | 1954 Division St Nw Unit B, Olympia, WA 98502-4239 | 2019-07-25 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1679048326 | Rosann V Slagel | Massage Therapist | 2938 Limited Ln Nw # 101, Olympia, WA 98502-6500 | 2018-10-09 |
| 1053896779 | Jessica M Divens | Massage Therapist | 4324 Martin Way E, Olympia, WA 98516-5367 | 2018-09-27 |
| 1831671601 | Dawn Michelle Greer | Massage Therapist | 2627 Capital Mall Dr Sw # B3a, Olympia, WA 98502-8696 | 2018-08-29 |
| 1497236582 | Seth Glover | Massage Therapist | 9830 Lookout Dr Nw, Olympia, WA 98502-9758 | 2018-08-27 |
| 1053897223 | Margaret Merica Stover | Massage Therapist | 1824 Black Lake Blvd Sw, Olympia, WA 98512-5714 | 2018-07-11 |
| Find all providers in OLYMPIA | ||||
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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.