LARRENA SUE JOHNSON (NPI# 1497147599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497147599 |
| Entity Type | Individual |
| Full Name | LARRENA SUE JOHNSON |
| Credential | LMP |
| Practice Address |
815 South Bridge Street Brewster WA 98812-2085 |
| Mailing Address |
Po Box 2085 815 S. Bridge St Brewster WA 98812-2085 |
| Practice Telephone | 5096892225 |
| Mailing Telephone | 5094490138 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60390106 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
815 SOUTH BRIDGE STREET |
| City | BREWSTER |
| State | WA |
| Zip Code | 98812-2085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689032542 | Edith A Mcclosky | Massage Therapist | 718 West Main Avenue, Brewster, WA 98812 | 2016-02-08 |
| 1912327321 | Advantage Durable Medical Equipment, Inc | Durable Medical Equipment & Medical Supplies | 537 Main Ave, Brewster, WA 98812 | 2014-04-24 |
| 1639441165 | Central Washington Sleep Diagnostic Center, Pllc | Clinic/Center | 520 W Indian Avenue, Brewster, WA 98812 | 2012-01-30 |
| 1194019612 | Mitzi Gutierrez | Student in an Organized Health Care Education/Training Program | 343 E. Main Ave., Brewster, WA 98812 | 2011-06-01 |
| 1982938924 | Jason R Tucker | Dentist | 101 North 6th Street, Brewster, WA 98812 | 2009-09-23 |
| 1649409186 | Family Health Centers | Clinic/Center | 101 North Sixth Street, Brewster, WA 98812 | 2009-07-06 |
| 1972769446 | Bethany Lynn | Family Medicine | 418 W Main Street, Brewster, WA 98812 | 2008-08-04 |
| 1629237482 | Family Health Centers | Clinic/Center | 525 W Jay, Brewster, WA 98812 | 2008-06-06 |
| 1316138720 | L. Keith Hanson Pllc | Clinic/Center | 520 W. Indian Avenue, Brewster, WA 98812 | 2007-08-09 |
| 1639375124 | Robert Thomas Lamberton | Orthopaedic Surgery | 520 West Indian Avenue, Brewster, WA 98812 | 2007-06-22 |
| Find all providers in zip 98812 | ||||
| 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 |
|---|---|---|---|---|
| 1689032542 | Edith A Mcclosky | Massage Therapist | 718 West Main Avenue, Brewster, WA 98812 | 2016-02-08 |
| 1457772667 | Jennifer Vehaba | Massage Therapist | 174 Peaceable Hill Rd, Brewster, NY 10509-3028 | 2013-12-16 |
| 1245677442 | Frances Zepeda | Massage Therapist | 33 Underpass Rd, Brewster, MA 02631-1810 | 2013-05-29 |
| 1467755603 | Christina Lee Shrable | Massage Therapist | 343 E. Main St., Brewster, WA 98812-1251 | 2010-12-09 |
| 1326341603 | Rebecca S Schmitt | Massage Therapist | 30 Church Rd, Brewster, WA 98812-3400 | 2010-12-08 |
| 1699958918 | Kimberly Dawn Juarez | Massage Therapist | 343 Main Street, Brewster, WA 98812 | 2007-12-10 |
| 1174660690 | Gwendolyn Dick | Massage Therapist | 526 Main Street, Brewster, WA 98812 | 2007-01-31 |
| 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.