JENNIFER L CONRAD (NPI# 1528197910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528197910 |
| Entity Type | Individual |
| Full Name | JENNIFER L CONRAD |
| Credential | LMP |
| Practice Address |
11108 Woodland Ave E Ste A Puyallup WA 98373-5893 |
| Mailing Address |
7423 114th St E # B Puyallup WA 98373-7866 |
| Practice Telephone | 2538455358 |
| Practice Fax Number | 2538455753 |
| Mailing Telephone | 2538203641 |
| Mailing Fax Number | 2538455753 |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00017265 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | STATE LICENSE | MA00017265 | 01 |
| WA | LABOR & INDUSTRIES | 0190641 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730667213 | Jennifer M Conrad | Early Intervention Provider Agency | 24 Neptune Pl, Massapequa, NY 11758-7628 | 2018-08-06 |
| 1891221552 | Jennifer Conrad | Speech-Language Pathologist | 906 Palora Cir, Nebraska City, NE 68410-3371 | 2017-05-02 |
| 1427474972 | Jennifer Ann Conrad | Nurse Practitioner | 41755 Heller Springs Rd, Anza, CA 92539-8846 | 2014-03-07 |
| 1457626384 | Jennifer Conrad | Pharmacist | 7776 Winghaven Blvd, O Fallon, MO 63368-3601 | 2012-03-10 |
| 1043853468 | Jennifer Nicole Conrad | Nurse Practitioner | 601 E Rollins St, Orlando, FL 32803-1248 | 2019-10-18 |
| 1124512769 | Jennifer Conrad | Community Health Worker | 11 Graham Dr, Athens, OH 45701-1430 | 2018-06-18 |
| 1326584210 | Jennifer Conrad | Physical Therapist | 111 Perrymont Rd, Pittsburgh, PA 15237-5246 | 2017-01-16 |
| 1841567054 | Jennifer Jayne Conrad | Pharmacist | 330 Sw Ward Rd, Lees Summit, MO 64081-2445 | 2011-11-17 |
| 1346476371 | Jennifer Ann Conrad | Dental Hygienist | 1205 W Mcdermott Dr, Allen, TX 75013-6305 | 2009-06-04 |
| 1346466471 | Jennifer Ann Horan Conrad | Social Worker | 155 Inverness Dr W, Englewood, CO 80112-5095 | 2007-04-17 |
| Street Address |
11108 WOODLAND AVE E STE A |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98373-5893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386798981 | Darrin Scott Mulcahey | Chiropractor | 11108 Woodland Ave E Ste A, Puyallup, WA 98373-5893 | 2007-01-22 |
| 1447528351 | Jessica Gail Abel | Massage Therapist | 11108 Woodland Ave E Ste A, Puyallup, WA 98373-5893 | 2011-12-06 |
| 1801125737 | Kerri A Thomas | Massage Therapist | 11108 Woodland Ave E Ste A, Puyallup, WA 98373-5893 | 2009-12-24 |
| 1023341856 | Amy M Gunderson | Massage Therapist | 11108 Woodland Ave E Ste A, Puyallup, WA 98373-5893 | 2009-09-11 |
| 1245471036 | Chiropractic Northwest, Inc. | Chiropractor | 11108 Woodland Ave E Ste A, Puyallup, WA 98373-5893 | 2009-03-09 |
| 1538310933 | Heather N Frye | Massage Therapist | 11108 Woodland Ave E Ste A, Puyallup, WA 98373-5893 | 2008-10-02 |
| 1912181991 | Jenna R Allen | Massage Therapist | 11108 Woodland Ave E Ste A, Puyallup, WA 98373-5893 | 2007-12-26 |
| 1972633428 | Brittney K Wilkinson | Massage Therapist | 11108 Woodland Ave E Ste A, Puyallup, WA 98373-5893 | 2007-03-06 |
| 1760512024 | Monica R Mclennan | Massage Therapist | 11108 Woodland Ave E Ste A, Puyallup, WA 98373-5893 | 2007-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
| 1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
| 1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
| 1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
| 1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
| 1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
| 1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
| Find all providers in zip 98373 | ||||
| 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 |
|---|---|---|---|---|
| 1053941187 | Stephanie Farris | Massage Therapist | 18002 Lipoma Firs E Unit G104, Puyallup, WA 98374-9008 | 2020-01-16 |
| 1437793064 | Jessica Graham | Massage Therapist | 12515 Meridian E Ste 205, Puyallup, WA 98373-3436 | 2019-11-06 |
| 1265081566 | Karen Kay Briskey | Massage Therapist | 403 43rd Ave Sw Apt 1, Puyallup, WA 98373-5965 | 2019-09-09 |
| 1275181927 | Vicki Jeanette Just-schaefer | Massage Therapist | 1707 3rd St Se Ste A, Puyallup, WA 98372-4506 | 2019-08-27 |
| 1477113587 | Jessica Jaramillo, LLC | Massage Therapist | 16515 Meridian E Ste 103b, Puyallup, WA 98375-6252 | 2019-06-20 |
| 1013574763 | Jovante A Guerra | Massage Therapist | 18710 Meridian E Ste 117, Puyallup, WA 98375-2231 | 2019-05-28 |
| 1386208999 | Jessica Nicole Kongslie | Massage Therapist | 2015 Brookmonte Dr Se, Puyallup, WA 98372-5173 | 2019-04-29 |
| 1184189565 | Mermaid Cove Massage & Wellness, LLC | Massage Therapist | 812 E Main, Puyallup, WA 98372-3364 | 2019-02-10 |
| 1699249847 | Healing Hands With Heart | Massage Therapist | 12515 Meridian E Ste 201, Puyallup, WA 98373-3436 | 2019-01-21 |
| 1013480508 | Tracy Pina | Massage Therapist | 16909 123rd Ave E, Puyallup, WA 98374 | 2019-01-07 |
| Find all providers in PUYALLUP | ||||
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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.