PENNY GAUDREAU (NPI# 1487986592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487986592 |
| Entity Type | Individual |
| Full Name | PENNY GAUDREAU |
| Credential | LMP |
| Practice Address |
26290 State Route 20 Burlington WA 98233 |
| Mailing Address |
1515 East Fir Street Mount Vernon WA 98273 |
| Practice Telephone | 3605407246 |
| Mailing Telephone | 3605407246 |
| Enumeration Date | 2010-02-01 |
| Last Update Date | 2010-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 00017676 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
26290 STATE ROUTE 20 |
| City | BURLINGTON |
| State | WA |
| Zip Code | 98233 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312872 | Ellen Barton | Counselor | Skagit Community Detox, 201 Lila Lane, Burlington, WA 98233 | 2020-06-25 |
| 1134611718 | Steven Anthony Rickards | Hearing Instrument Specialist | 218 Rio Vista Avenue, Burlington, WA 98233 | 2018-05-31 |
| 1770007817 | Laura Ellen Defreese | Health Educator | 11768 Westar Lane, Suite A, Burlington, WA 98233 | 2017-07-31 |
| 1588036339 | Teresa Tweed | Specialist | 121 Spruce Street, Burlington, WA 98233 | 2015-10-20 |
| 1639582950 | Rebecca L Neff | Registered Nurse | 927 E. Fairhaven Ave., Burlington, WA 98233 | 2014-06-04 |
| 1982041356 | Marion Hernon | Dentist | 120 E George Hopper Rd Ste 100, Burlington, WA 98233 | 2013-05-25 |
| 1033450804 | Aaron P Fox | Counselor | 127 E. Fairhaven Ave., Burlington, WA 98233 | 2013-03-04 |
| 1629332895 | North Cascade Pain Management Ps | Anesthesiology | 340 E George Hopper Rd, Suite #1, Burlington, WA 98233 | 2012-07-02 |
| 1356618151 | Sandra L Fletcher | Pharmacist | 1725 S.burlington Boulevard, Burlington, WA 98233 | 2011-11-22 |
| 1528343258 | Andria Anita Bloom | Family Medicine | 1162 S. Burlington Boulevard, Burlington, WA 98233 | 2011-10-13 |
| Find all providers in zip 98233 | ||||
| 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 |
|---|---|---|---|---|
| 1689288300 | Barbara A Crotty | Massage Therapist | 2879c Rob Shepard Dr, Burlington, NC 27215-9299 | 2020-09-01 |
| 1366055428 | Thomas Ray Savage | Massage Therapist | 1110 Agency St, Burlington, IA 52601-4304 | 2020-08-28 |
| 1184261695 | Ityra Robinson | Massage Therapist | 111 Trail One Ste 102-103, Burlington, NC 27215-5672 | 2019-12-03 |
| 1720541055 | Adriana Kaye Freel | Massage Therapist | 368 15th St, Burlington, CO 80807-1622 | 2019-04-12 |
| 1801377825 | Gurubani Whitney A Van Boven | Massage Therapist | 320 E Fairhaven Ave Ste 201, Burlington, WA 98233-1700 | 2018-08-27 |
| 1841740925 | Shelbi Thompson | Massage Therapist | 333 E Fairhaven Ave, Burlington, WA 98233-1704 | 2016-10-12 |
| 1811326549 | Genevieve Henry | Massage Therapist | 1 Main St Ste 214, Burlington, VT 05401-8480 | 2013-11-04 |
| 1649560533 | Lori Jean Thomas | Massage Therapist | 2900 Crossway Rd, Burlington, WI 53105-7734 | 2011-04-12 |
| 1013228824 | Rose Duncliffe | Massage Therapist | 101 Cambridge St Ste 260, Burlington, MA 01803-3767 | 2010-06-25 |
| 1790930881 | Terri Haley | Massage Therapist | 2208 Foxfire Ln, Burlington, NC 27217-7073 | 2008-11-17 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 98233 |
Please comment or provide details below to improve the information on PENNY GAUDREAU.
| 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.