KENDRA BUKOVAC (NPI# 1447790472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447790472 |
| Entity Type | Individual |
| Full Name | KENDRA BUKOVAC |
| Credential | MT |
| Practice Address |
1033 N Tacoma Ave Tacoma WA 98403-2928 |
| Mailing Address |
303 Dalton Ln Zillah WA 98953-9309 |
| Practice Telephone | 2534749670 |
| Mailing Telephone | 3608297951 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 60408092 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1033 N TACOMA AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98403-2928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174692396 | Jason Edward Stockton | Chiropractor | 1033 N Tacoma Ave, Tacoma, WA 98403-2928 | 2006-11-06 |
| 1841679511 | Matthew Mark Salzman | Massage Therapist | 1033 N Tacoma Ave, Tacoma, WA 98403-2928 | 2015-05-27 |
| 1629363890 | Amber L Gordon | Massage Therapist | 1033 N Tacoma Ave, Tacoma, WA 98403-2928 | 2011-06-15 |
| 1033386818 | Tacoma Family Chiropractic Inc., P.s. | Chiropractor | 1033 N Tacoma Ave, Tacoma, WA 98403-2928 | 2008-05-12 |
| 1427264019 | Webster Wyatt Foreman IIi | Specialist | 1033 N Tacoma Ave, Tacoma, WA 98403-2928 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336692482 | Tamara Paynter | Occupational Therapy Assistant | 15 North E Street, Apartment 38, Tacoma, WA 98403 | 2016-07-25 |
| 1457742280 | Zenergy Massage Clinic | Community Health Worker | 1310 N I St Suite B, Tacoma, WA 98403 | 2015-02-16 |
| 1205111218 | Andrew Smart | Pedorthist | 709 N. I St. Apt #3, Tacoma, WA 98403 | 2011-10-21 |
| 1801036694 | Louie Gabriele Hallie | Social Worker | 2205 N. 30th St., Suite B, Tacoma, WA 98403 | 2009-03-06 |
| 1336385897 | Colleen Anne Young | Counselor | 2622 Mccarver St., Tacoma, WA 98403 | 2009-01-05 |
| 1851503445 | Marilyn Delucia | Specialist | 105 Tacoma Ave N, Tacoma, WA 98403 | 2007-05-04 |
| 1396869855 | Charles Wayne Winchell | Massage Therapist | 722 Martin Luther King Ave., Tacoma, WA 98403 | 2007-03-19 |
| 1093864589 | Catholic Community Services of Western Washington | Clinic/Center | 1001 N J St, Tacoma, WA 98403 | 2007-01-10 |
| 1790840965 | Jonathan L Ritson | Physical Medicine & Rehabilitation | 2200 North 30th Street, Suite 201, Tacoma, WA 98403 | 2006-12-27 |
| 1578503157 | John C. Winskill, D.d.s., P.s. | Clinic/Center | 2215 N 30th St, Suit #104, Tacoma, WA 98403 | 2006-06-08 |
| Find all providers in zip 98403 | ||||
| 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 |
|---|---|---|---|---|
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1629684519 | Deon Abdullah | Massage Therapist | 5820 S Sheridan Ave, Tacoma, WA 98408-2304 | 2020-09-16 |
| 1699389205 | Elissa Aspuria | Massage Therapist | 4008 S Pine St, Tacoma, WA 98409-5612 | 2020-09-01 |
| 1841803772 | Cheryl Tjulander | Massage Therapist | 1102 A St Ste 408, Tacoma, WA 98402-5010 | 2020-08-29 |
| 1336768845 | Lee Pham Parkin | Massage Therapist | 2118 Yakima Ct, Tacoma, WA 98405-3864 | 2020-04-14 |
| 1275168866 | Virginia Drohan | Massage Therapist | 2209 N 30th St Ste 2, Tacoma, WA 98403-3352 | 2020-03-04 |
| 1770117350 | Deja Monique Farrant | Massage Therapist | 10926 113th Ave Sw, Tacoma, WA 98498-1465 | 2020-02-24 |
| 1821635731 | Erin Elise Harris | Massage Therapist | 4916 Center St Ste G, Tacoma, WA 98409-2348 | 2019-12-10 |
| 1366088643 | Bryan Dwight Daniels | Massage Therapist | 2924 N 14th St, Tacoma, WA 98406-6906 | 2019-11-21 |
| 1255977559 | Kathleen Deal | Massage Therapist | 2315 Westridge Ave W Apt A10, Tacoma, WA 98466-8204 | 2019-11-21 |
| Find all providers in TACOMA | ||||
Please comment or provide details below to improve the information on KENDRA BUKOVAC.
| 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.