CRISTINA RAQUEL LOGAN (NPI# 1528136082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528136082 |
| Entity Type | Individual |
| Full Name | CRISTINA RAQUEL LOGAN |
| Other Name | CRISTINA RAQUEL MARES |
| Credential | LMT |
| Practice Address |
1518 Bishop Rd Sw #11 Tumwater WA 98512 |
| Practice Telephone | 3607510641 |
| Practice Fax Number | 3606231215 |
| Mailing Telephone | 3607510641 |
| Mailing Fax Number | 3606231215 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00022479 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1518 BISHOP RD SW #11 |
| City | TUMWATER |
| State | WA |
| Zip Code | 98512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1205465622 | Falina Marie Luce | Counselor | 3285 Ferguson St, Olympia, WA 98512 | 2020-04-07 |
| 1881234912 | Andres Enrique Velazquez | Counselor | 3285 Ferguson St Sw Wa 98512, Tumwater, WA 98512 | 2020-01-07 |
| 1700432507 | Maria E Zavala Negrete | Behavior Technician | 3285 Ferguson Street Southwest, Tumwater, WA 98512 | 2019-08-16 |
| 1669026951 | Bradley Allen Labrador | Social Worker | 3285 Ferguson St, Sw, Tumwater, WA 98512 | 2019-07-25 |
| 1033762893 | Janice Lapreal Swanzey | Licensed Practical Nurse | 3285 Ferguson Lane St Sw, Olympia, WA 98512 | 2019-07-22 |
| 1821569195 | Linda Marie Moffitt | Registered Nurse | 7741 Littlerock Rd. Sw, Tumwater, WA 98512 | 2018-12-16 |
| 1427534577 | Matthew Hart | Occupational Therapist | 2620 Rw Johnson Boulevard Southwest Suite 112, Tumwater, WA 98512 | 2018-07-12 |
| 1558858019 | Amy Louise Cline | Counselor | 6005 Tyee Drive Sw, Tumwater, WA 98512 | 2018-04-19 |
| 1669998183 | Bradley Ross Bishop | Registered Nurse | 3285 Ferguson Street Sw, Tumwater, WA 98512 | 2017-08-16 |
| Find all providers in zip 98512 | ||||
| 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 |
|---|---|---|---|---|
| 1568070076 | Maggie Jean Andrus | Massage Therapist | 2808 Coventry Ln Sw, Tumwater, WA 98512-0494 | 2020-07-21 |
| 1245876945 | Khamla J Martin | Massage Therapist | 1233 Lake Park Dr Sw Apt 15, Tumwater, WA 98512-6954 | 2019-11-18 |
| 1457901258 | Angelina H. Jefferson | Massage Therapist | 1012 N 7th Ave Sw, Tumwater, WA 98512-6316 | 2019-09-13 |
| 1093248049 | Michael L Cash | Massage Therapist | 614 Z St Se, Tumwater, WA 98501-5559 | 2017-04-06 |
| 1841676772 | Tyson Mix | Massage Therapist | 622 S 3rd Ave Sw, Tumwater, WA 98512-6895 | 2015-08-03 |
| 1346637592 | Jonathan M Fink | Massage Therapist | 2330 Mottman Rd Sw # 106, Tumwater, WA 98512-6232 | 2015-04-24 |
| 1952715013 | Cassie Willis | Massage Therapist | 1105 Irving St Sw, Tumwater, WA 98512-6353 | 2014-06-17 |
| 1720411804 | Rianne Victoria Smelser | Massage Therapist | 915 Trosper Rd Sw, Suite 102, Tumwater, WA 98512-6972 | 2013-08-13 |
| 1871932186 | Sara E James | Massage Therapist | 2256 Mottman Rd Sw Ste C, Tumwater, WA 98512-4200 | 2013-06-19 |
| 1861731507 | Andrew Joel Kaplowitz | Massage Therapist | 2330 Mottman Road Sw, Suite 106, Tumwater, WA 98512 | 2013-01-31 |
| Find all providers in TUMWATER | ||||
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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.