SUSAN LAND (NPI# 1487125654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487125654 |
| Entity Type | Individual |
| Full Name | SUSAN LAND |
| Credential | LMT |
| Practice Address |
848 N Sunrise Blvd Ste 102 Bld A Camano Island WA 98282 |
| Practice Telephone | 3606292524 |
| Practice Fax Number | 3606104979 |
| Mailing Telephone | 3606292524 |
| Mailing Fax Number | 3606104979 |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | ME60877736 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LICENSED MASSAGE THERAPIST | MA60877736 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215935903 | Susan H Land | Family Medicine | 505 Mount Pleasant Rd, Thomson, GA 30824-8140 | 2005-07-07 |
| Street Address |
848 N SUNRISE BLVD STE 102 BLD A |
| City | CAMANO ISLAND |
| State | WA |
| Zip Code | 98282 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417491911 | South Sound Physical & Hand Therapy Pllc | Physical Therapist | 848 N Sunrise Blvd, Suite F104, Camano Island, WA 98282-8770 | 2016-12-19 |
| 1669982500 | Shelby Seay | Massage Therapist | 848 N Sunrise Blvd, Ste 102 Bld A, Camano Island, WA 98282 | 2017-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073012449 | Brenda Grinde | Massage Therapist | 122 W Mountain Rd, Camano Island, WA 98282 | 2018-02-12 |
| 1083122873 | Kathleen Jensen Bouranova | Registered Nurse | 1320 Sw Camano Dr, Camano Island, WA 98282 | 2018-01-16 |
| 1770968117 | Lisanne Olsen | Massage Therapist | 1143 Sr 532, Camano Island, WA 98282 | 2015-07-28 |
| 1063690501 | Anna Christine Mitchell | Specialist | 927 N.w. Camano Drive, Camano Island, WA 98282 | 2008-02-06 |
| 1558420489 | Martin Anthony Zimmerman | Dentist | 810 N Rekdal Road, Camano Island, WA 98282 | 2006-12-06 |
| 1225112360 | Mark Dudley Phibbs | Pharmacist | 370 N. East Camano Dr., Camano Island, WA 98282 | 2006-10-25 |
| 1437264322 | Matthew Robert Crouthamel | Surgery | 18 Anadar Pl, Camano Island, WA 98282 | 2006-08-20 |
| 1144388075 | Randall A Thompson Dds Ps | Dentist | 810 Rekdal Rd, Carmano Island, WA 98282 | 2006-12-04 |
| 1508932427 | Public Hospital Dist No 1 Skagit | Clinic/Center | 127 N. East Camano Drive, Suite A, Camano Island, WA 98282 | 2006-11-24 |
| 1497985956 | Stephanie Lynn Carlson | Massage Therapist | 1897 Elhardt St, Camano Island, WA 98282-6320 | 2009-07-19 |
| Find all providers in zip 98282 | ||||
| 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 |
|---|---|---|---|---|
| 1073012449 | Brenda Grinde | Massage Therapist | 122 W Mountain Rd, Camano Island, WA 98282 | 2018-02-12 |
| 1770968117 | Lisanne Olsen | Massage Therapist | 1143 Sr 532, Camano Island, WA 98282 | 2015-07-28 |
| 1497985956 | Stephanie Lynn Carlson | Massage Therapist | 1897 Elhardt St, Camano Island, WA 98282-6320 | 2009-07-19 |
| 1518099761 | Diana L Nestor | Massage Therapist | 956 High Rd, Camano Island, WA 98282-8644 | 2007-03-12 |
| 1669982500 | Shelby Seay | Massage Therapist | 848 N Sunrise Blvd, Ste 102 Bld A, Camano Island, WA 98282 | 2017-10-05 |
| 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 | ||||
| City | CAMANO ISLAND |
| Zip Code | 98282 |
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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.