SUZAN MARIE-JON DOUGLASS (NPI# 1467761965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467761965 |
| Entity Type | Individual |
| Full Name | SUZAN MARIE-JON DOUGLASS |
| Credential | LMT |
| Practice Address |
345 Pacific Ave N Apt Bb6 Pacific WA 98047-1291 |
| Practice Telephone | 4257858236 |
| Mailing Telephone | 4257858236 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00025267 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
345 PACIFIC AVE N APT BB6 |
| City | PACIFIC |
| State | WA |
| Zip Code | 98047-1291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760986160 | Salome Khasungu Shivachi | Registered Nurse | 208 Tacoma Blvd N, Pacific, WA 98047-1010 | 2018-03-20 |
| 1801406343 | Juan B Medina | Interpreter | 101 Tacoma Blvd N Apt 1, Pacific, WA 98047-1045 | 2020-08-07 |
| 1578924999 | Vito Joseph Tamburello | Dental Assistant | 733 4th Ave Ne Apt 507, Pacific, WA 98047-1266 | 2016-03-12 |
| 1790090991 | Judy H Jansen | Specialist | 410 Milwaukee Blvd S, Pacific, WA 98047-1315 | 2010-08-11 |
| 1750734745 | Grady Smith | Counselor | 128 Blueberry Ct Sw, Pacific, WA 98047-1354 | 2016-07-14 |
| 1609414424 | Sarah Danielle Dwyer | Massage Therapist | 253 6th Ave Sw, Pacific, WA 98047-1371 | 2019-12-11 |
| 1922632058 | Katherine Barbara Lukes | Specialist/Technologist | 624 Glacier Ave S, Pacific, WA 98047-1378 | 2020-02-27 |
| 1770530305 | Joan Stiggelbout | Nurse Practitioner | 603 3rd Ave Se, Pacific, WA 98047-1431 | 2006-05-28 |
| 1669837621 | Kiley K Gallentine | Counselor | 413 Wayne Ave Se, Pacific, WA 98047-1453 | 2015-12-17 |
| 1235141474 | Scooters America LLC | Durable Medical Equipment & Medical Supplies | 170 Stewart Rd Sw, Pacific, WA 98047-2108 | 2006-08-13 |
| Find all providers in zip 98047 | ||||
| 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 |
|---|---|---|---|---|
| 1609414424 | Sarah Danielle Dwyer | Massage Therapist | 253 6th Ave Sw, Pacific, WA 98047-1371 | 2019-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346177 | Franco Garibaldi | Massage Therapist | 8120 378th Ave Se, Snoqualmie, WA 98065-9338 | 2020-11-06 |
| 1073114815 | Michael Paul Frietze | Massage Therapist | 519 Sw Cascade Ave, Chehalis, WA 98532-3213 | 2020-11-06 |
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1912508094 | Catelyn Renee Wesley | Massage Therapist | 211 Marty Loop, Woodland, WA 98674-7223 | 2020-11-04 |
| 1154922250 | Wanju S Kellams | Massage Therapist | 677 Woodland Square Loop Se # A-8, Lacey, WA 98503-1000 | 2020-11-04 |
| 1417558743 | Erin Claire Stafford | Massage Therapist | 709 Nw 120th St, Vancouver, WA 98685-2495 | 2020-11-03 |
| 1063013332 | Andrea L Yu | Massage Therapist | 7207 265th St Nw Ste 102, Stanwood, WA 98292-6274 | 2020-11-03 |
| 1689274250 | Francine Marie Morales | Massage Therapist | 1320 Worrall Dr, Bremerton, WA 98310-3629 | 2020-10-31 |
| 1255931994 | Lotus Lounge Corporation | Massage Therapist | 200 Auburn Ave Ste 3, Auburn, WA 98002-5015 | 2020-10-30 |
| 1538769088 | Alison K Rostholder-harris | Massage Therapist | 1202 E Pine St Unit 101, Seattle, WA 98122-3929 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.