MR. MICHAEL WALL (NPI# 1356657472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356657472 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL WALL |
| Credential | LMP |
| Practice Address |
18920 Bothell Way Ne #204 Bothell WA 98011-1981 |
| Mailing Address |
13002 81st Ave Ne Kirkland WA 98034-2546 |
| Practice Telephone | 4254243730 |
| Practice Fax Number | 4254242371 |
| Mailing Telephone | 4254174123 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60163284 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932427101 | Michael D Wall | Physical Therapist | 2720 8th Street Sw, Altoona, IA 50009 | 2010-05-12 |
| 1669799805 | Michael Wayne Wall | Counselor | 784 W Lebanon St, Mount Airy, NC 27030-2218 | 2010-04-28 |
| 1932346897 | Michael Vincent Wall | Dentist | 3552 W Glendale Ave, Ste. B, Phoenix, AZ 85051-8358 | 2009-01-14 |
| 1053520593 | Michael Lee Wall II | Chiropractor | 13412 Pacific Ave S, Tacoma, WA 98444-4866 | 2007-05-22 |
| 1194940924 | Michael James Wall | Dentist | 45 1048 Kam Hwy, Suite B, Kaneohe, HI 96744 | 2007-04-16 |
| 1063552586 | Michael Patrick Wall | Social Worker | 692 Ritchie Hwy, Suite 203, Severna Park, MD 21146-3919 | 2007-02-07 |
| 1396842589 | Michael Shane Wall | Dentist | 506 Gentilly Road, Statesboro, GA 30458 | 2006-09-20 |
| 1780616847 | Michael S Wall | Orthopaedic Surgery | 500 Arguello St, Ste 100, Redwood City, CA 94063 | 2006-07-07 |
| 1235600529 | Michael Wall | Community Health Worker | 847 Ne 19th Ave Ste 100, Portland, OR 97232-2684 | 2018-12-11 |
| 1407244007 | Michael Andrew Wall | Physician Assistant | 1515 Sunset Ave, Clinton, NC 28328-3827 | 2015-01-05 |
| Street Address |
18920 BOTHELL WAY NE #204 |
| City | BOTHELL |
| State | WA |
| Zip Code | 98011-1981 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611099 | Michael David Kaufman | Chiropractor | 18920 Bothell Way Ne, #100, Bothell, WA 98011 | 2005-07-05 |
| 1316421316 | Haley Costa | Naturopath | 18920 Bothell Way Ne, Bothell, WA 98011-1981 | 2018-09-17 |
| 1619476371 | Cassandra Schroder | Chiropractor | 18920 Bothell Way Ne, Bothell, WA 98011-1981 | 2018-02-08 |
| 1063950863 | Jessica Daily | Massage Therapist | 18920 Bothell Way Ne, Unit 204, Bothell, WA 98011-1981 | 2017-02-01 |
| 1225589138 | John Kopet | Chiropractor | 18920 Bothell Way Ne, Bothell, WA 98011-1981 | 2016-10-17 |
| 1427506070 | Anisoara Vulpoi | Dentist | 18920 Bothell Way Ne, #200, Bothell, WA 98011-1981 | 2016-09-13 |
| 1205231560 | Amber Content | Naturopath | 18920 Bothell Way Ne, #102, Bothell, WA 98011-1981 | 2014-10-29 |
| 1104231000 | David Fazio | Massage Therapist | 18920 Bothell Way Ne, Suite 204, Bothell, WA 98011-1981 | 2014-06-30 |
| 1649691510 | Theresa Madison | Massage Therapist | 18920 Bothell Way Ne, 204, Bothell, WA 98011-1981 | 2013-12-19 |
| 1699111518 | Mylee Nguyen | Optometrist | 18920 Bothell Way Ne, Suite 203, Bothell, WA 98011-1981 | 2013-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
| 1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
| 1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
| 1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1912353111 | Pediatric Associates, Inc., Dba Allegro Pediatrics | Pediatrics | 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 | 2016-05-06 |
| 1699145508 | Kelsie Ann Mcgladrey | Physical Therapist | 18504 Bethell Way Ne, Bethell, WA 98011 | 2015-10-05 |
| 1205217882 | Isaac-gregory Hyde Robancho | Massage Therapist | 10024 Main Street, Suite 2 C, Bothell, WA 98011 | 2015-06-09 |
| 1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
| Find all providers in zip 98011 | ||||
| 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 |
|---|---|---|---|---|
| 1790397974 | Capstone Snohomish LLC | Massage Therapist | 24118 Bothell Everett Hwy Unit 400, Bothell, WA 98021-9379 | 2020-08-19 |
| 1326609876 | Stephanie Norby | Massage Therapist | 18930 Bothell Everett Hwy Apt U104, Bothell, WA 98012-5225 | 2019-06-25 |
| 1861053811 | Thomas J Clark | Massage Therapist | 16615 North Rd Unit B, Bothell, WA 98012-5983 | 2019-06-20 |
| 1174188049 | Jerimiah Joseph Zachary Seeds-murphy | Massage Therapist | 21915 6th Ave W, Bothell, WA 98021-8137 | 2019-05-07 |
| 1457818197 | Marcelo Quinonez | Massage Therapist | 2904 165th Pl Se, Bothell, WA 98012-6023 | 2019-03-01 |
| 1023589009 | Justin Hoeker | Massage Therapist | 24306 Carter Rd Unit B, Bothell, WA 98021-9413 | 2018-12-17 |
| 1790287910 | Kayla Meghan Dunbar | Massage Therapist | 2132 178th St Se, Bothell, WA 98012-6562 | 2018-03-03 |
| 1437658028 | Britney Walls | Massage Therapist | 23825 15th Ave Se Unit 21a, Bothell, WA 98021-8862 | 2018-02-08 |
| 1053853085 | Paige Linder Pattillo | Massage Therapist | 21715 49th Ave Se, Bothell, WA 98021-8042 | 2016-11-08 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| Find all providers in BOTHELL | ||||
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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.