MR. EDMUND F JACOBS JR. (NPI# 1528368438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528368438 |
| Entity Type | Individual |
| Full Name | MR. EDMUND F JACOBS JR. |
| Credential | LMP |
| Practice Address |
31706 40th Ave S Roy WA 98580-8640 |
| Practice Telephone | 2063690297 |
| Mailing Telephone | 2063690297 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60103665 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
31706 40TH AVE S |
| City | ROY |
| State | WA |
| Zip Code | 98580-8640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659694750 | Patricia Riley Dammier | Counselor | 5304 State Route 702 S, Roy, WA 98580 | 2010-03-04 |
| 1811229594 | Dawn Wray Bouchard | Specialist | 29614 67th Ave Ct S, Roy, WA 98580 | 2010-02-05 |
| 1669703203 | Barbara L. Malm | Massage Therapist | 9111 346th St So, Ste #3, Roy, WA 98580 | 2010-01-21 |
| 1356576714 | Escape 2 Massage | Massage Therapist | 107 S. Warren St, Unit D, Roy, WA 98580 | 2009-05-28 |
| 1649414665 | Virgie Belo Aragon | Massage Therapist | 107 S. Warren, Unit D, Roy, WA 98580 | 2009-04-21 |
| 1487893673 | Janna Pauline Allen | Massage Therapist | 9111 346th St S., Ste 3, Roy, WA 98580 | 2009-02-11 |
| 1508030180 | Pauline Flournoy | Custodial Care Facility | 28121 14th Ave E, Roy, WA 98580 | 2008-04-15 |
| 1154511806 | Classic Chiropractic P.s. | Chiropractor | 35025 90th Ave. S., Unit 6, Roy, WA 98580 | 2007-07-30 |
| 1609933092 | Adrienne M Martin | Massage Therapist | 9111 346 St S, Suite 3, Rox, WA 98580 | 2007-01-03 |
| 1629133988 | Cassandra Pearl Cobb | Massage Therapist | 9111 346th St S, Suite 3, Roy, WA 98580 | 2006-12-27 |
| Find all providers in zip 98580 | ||||
| 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 |
|---|---|---|---|---|
| 1477079010 | Evelyn C De Jesus | Massage Therapist | 29714 2nd Ave S, Roy, WA 98580-9598 | 2017-08-15 |
| 1023418696 | Hillary Ann Pincus | Massage Therapist | 8111 295th St S, Roy, WA 98580-8448 | 2014-09-02 |
| 1134549595 | Paul Kekacs | Massage Therapist | 3459 W 5400 S, Roy, UT 84067-9255 | 2014-04-23 |
| 1871922062 | John Ferraro | Massage Therapist | 33417 22nd Ave S, Roy, WA 98580-9660 | 2013-11-07 |
| 1619221983 | Melissa Catherine Thompson | Massage Therapist | 31212 12th Avenue Ct E, Roy, WA 98580-8809 | 2012-11-07 |
| 1871899120 | David Mcneeley | Massage Therapist | 33814 82nd Ave S, Roy, WA 98580-9420 | 2011-02-03 |
| 1912229345 | Helaina Greb | Massage Therapist | 7525 State Route 702 S, Roy, WA 98580-9211 | 2010-02-26 |
| 1669703203 | Barbara L. Malm | Massage Therapist | 9111 346th St So, Ste #3, Roy, WA 98580 | 2010-01-21 |
| 1356576714 | Escape 2 Massage | Massage Therapist | 107 S. Warren St, Unit D, Roy, WA 98580 | 2009-05-28 |
| 1649414665 | Virgie Belo Aragon | Massage Therapist | 107 S. Warren, Unit D, Roy, WA 98580 | 2009-04-21 |
| Find all providers in ROY | ||||
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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.