SUZANNE M TETREAULT (NPI# 1356942106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356942106 |
Entity Type | Individual |
Full Name | SUZANNE M TETREAULT |
Credential | LMT |
Practice Address |
129 S Union Ave Newport WA 99156-9668 |
Mailing Address |
5 Dumire Road Oldtown ID 83822 |
Practice Telephone | 5094479956 |
Mailing Telephone | 5084542205 |
Enumeration Date | 2020-11-06 |
Last Update Date | 2020-11-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
129 S UNION AVE |
City | NEWPORT |
State | WA |
Zip Code | 99156-9668 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689968034 | Amanda Lee Winje | Massage Therapist | 129 S Union Ave, Newport, WA 99156-9668 | 2011-06-02 |
1487013157 | Christopher A Thomas Dc, Ps | Mechanotherapist | 129 S Union Ave, Newport, WA 99156-9668 | 2016-02-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720535297 | Newport Dental | Clinic/Center | 610 West Second St., Box 849, Newport, WA 99156 | 2016-09-01 |
1033665278 | Elisabeth Mackey | Nurse Practitioner | 704 West Pine Street, Newport, WA 99156 | 2016-08-28 |
1558764845 | Russell John Stephens | Dentist | 424 N. Warren Ave., Newport, WA 99156 | 2014-10-01 |
1215289285 | Mary Sue Siemsen | Speech-Language Pathologist | 1201 W. 5th Street, Newport, WA 99156 | 2012-10-15 |
1699027797 | Denise Anderson | Registered Nurse | 1380 W. 5th Street, Newport, WA 99156 | 2012-10-12 |
1174840532 | Tina Diane Vanzandt | Counselor | 405 W Walnut St Ste 3, Newport, WA 99156 | 2010-04-26 |
1447415252 | Carol Townley | Social Worker | 105 S Garden Avenue, Box 5055, Newport, WA 99156 | 2008-07-21 |
1992912117 | Lois A. Robertson | Massage Therapist | 322 South Washington Avenue, Newport, WA 99156 | 2007-05-17 |
1740312073 | Amber Lyne Salesky | Massage Therapist | 601 Hwy 20, Newport, WA 99156 | 2007-03-12 |
1124159900 | Pend Oreille County Public Hospital District No 1 | Clinic/Center | 100 S Scott, Newport, WA 99156 | 2007-03-07 |
Find all providers in zip 99156 |
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 |
---|---|---|---|---|
1619588514 | Tiffany Rae Murray | Massage Therapist | 698 Ne Steenson Rd, Newport, OR 97365-9564 | 2020-08-13 |
1518598226 | Nick Ferber | Massage Therapist | 213 Ne 11th St, Newport, OR 97365-3024 | 2020-01-31 |
1386289122 | Diana Walter | Massage Therapist | 2159 Joey Canyon Dr, Newport, MI 48166-9569 | 2019-11-15 |
1447893136 | Trisha Kay Cohick | Massage Therapist | 100 N 4th St, Newport, PA 17074-1105 | 2019-10-24 |
1457815219 | Glenn K Miller | Massage Therapist | 231 S Washington Ave, Newport, WA 99156-9670 | 2019-01-25 |
1053880609 | Debra Jean Parr | Massage Therapist | 306 Sw Coast Hwy Ste 200, Newport, OR 97365-4903 | 2018-11-13 |
1356840474 | Carolynn L Coleman | Massage Therapist | 932 Sw Hurbert St, Newport, OR 97365-4715 | 2018-02-04 |
1104366111 | Liza Walker | Massage Therapist | 406 Nw 22nd St, Newport, OR 97365-2126 | 2017-02-24 |
1285188904 | Ashley Dupont | Massage Therapist | 101 Fernald Rd, Newport, ME 04953-3931 | 2016-08-10 |
1508227307 | Sara Coxen | Massage Therapist | 5 Sw Lee St, Newport, OR 97365-3823 | 2016-03-08 |
Find all providers in NEWPORT |
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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.