MS. SUSAN JOLINE HENRICKSEN (NPI# 1528198264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528198264 |
| Entity Type | Individual |
| Full Name | MS. SUSAN JOLINE HENRICKSEN |
| Credential | LMP |
| Practice Address |
6618 So L St Tacoma WA 98408 |
| Practice Telephone | 2534712937 |
| Practice Fax Number | 2534758827 |
| Mailing Telephone | 2534712937 |
| Mailing Fax Number | 2534758827 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00013316 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6618 SO L ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053839597 | Michael David Clifton | Chiropractor | 1702 South 72nd Street, Tacoma, WA 98408 | 2017-09-05 |
| 1417405630 | Ashley Mae Grosso | Licensed Practical Nurse | 7011 S I St, Tacoma, WA 98408 | 2016-09-16 |
| 1568845188 | Carolyn M Jacoby | Social Worker | 4850 S Thompson Ave, Tacoma, WA 98408 | 2015-06-30 |
| 1265844385 | Kaitlyn Leigh Laube Ward | Podiatrist | 7808 Pacific Ave Ste 1, Tacoma, WA 98408 | 2014-05-22 |
| 1720315872 | Holly A Roach | Specialist | 414 So. 54th St., Tacoma, WA 98408 | 2009-11-11 |
| 1831328731 | Frederick Joseph Norrick Jr. | Massage Therapist | 5001 Pacific Avenue S, Integrative Body Therapeutics, Gibson Gardens Suite 422, Tacoma, WA 98408 | 2009-07-13 |
| 1043364565 | Dawn Michelle Catlow | Massage Therapist | 6201 Pacific Avenue, Tacoma, WA 98408 | 2007-01-22 |
| 1538223227 | Joshua Bleustar | Counselor | 860 South 54th St, Tacoma, WA 98408 | 2006-12-20 |
| 1235291055 | Leonardo F Romero | Chiropractor | 7047 S D St., Ste. B, Tacoma, WA 98408 | 2006-12-15 |
| 1306958228 | Costless Pharmacy LLC | Pharmacy | 5431 Pacific Ave, Tacoma, WA 98408 | 2006-08-31 |
| Find all providers in zip 98408 | ||||
| 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 |
|---|---|---|---|---|
| 1417558305 | Madelyn Leigh Thomas | Massage Therapist | 2202 6th Ave, Tacoma, WA 98403-1049 | 2020-11-05 |
| 1629684519 | Deon Abdullah | Massage Therapist | 5820 S Sheridan Ave, Tacoma, WA 98408-2304 | 2020-09-16 |
| 1699389205 | Elissa Aspuria | Massage Therapist | 4008 S Pine St, Tacoma, WA 98409-5612 | 2020-09-01 |
| 1841803772 | Cheryl Tjulander | Massage Therapist | 1102 A St Ste 408, Tacoma, WA 98402-5010 | 2020-08-29 |
| 1336768845 | Lee Pham Parkin | Massage Therapist | 2118 Yakima Ct, Tacoma, WA 98405-3864 | 2020-04-14 |
| 1275168866 | Virginia Drohan | Massage Therapist | 2209 N 30th St Ste 2, Tacoma, WA 98403-3352 | 2020-03-04 |
| 1770117350 | Deja Monique Farrant | Massage Therapist | 10926 113th Ave Sw, Tacoma, WA 98498-1465 | 2020-02-24 |
| 1821635731 | Erin Elise Harris | Massage Therapist | 4916 Center St Ste G, Tacoma, WA 98409-2348 | 2019-12-10 |
| 1366088643 | Bryan Dwight Daniels | Massage Therapist | 2924 N 14th St, Tacoma, WA 98406-6906 | 2019-11-21 |
| 1255977559 | Kathleen Deal | Massage Therapist | 2315 Westridge Ave W Apt A10, Tacoma, WA 98466-8204 | 2019-11-21 |
| Find all providers in TACOMA | ||||
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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.