MRS. PAULETTE KATHLEEN WIESINGER (NPI# 1558663914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558663914 |
Entity Type | Individual |
Full Name | MRS. PAULETTE KATHLEEN WIESINGER |
Practice Address |
11804 County Line Rd Edgewood WA 98372-1255 |
Mailing Address |
11804 County Line Rd E Edgewood WA 98372 |
Practice Telephone | 2539529194 |
Practice Fax Number | 2062600200 |
Mailing Telephone | 2539529194 |
Mailing Fax Number | 2062600200 |
Enumeration Date | 2010-11-17 |
Last Update Date | 2010-11-17 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA60191719 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
11804 COUNTY LINE RD |
City | EDGEWOOD |
State | WA |
Zip Code | 98372-1255 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295371532 | Jeffrey Allen Zhan | Urology | Good Samaritan Medical Office Bldg 1450 5th St Se, Suite 2100- Urology Clinic, Puyallup, WA 98372 | 2019-11-21 |
1447811419 | Serenity Counseling & Consulting, LLC | Marriage & Family Therapist | 102 23rd St Se, Unit B, Puyallup, WA 98372 | 2019-06-21 |
1316401565 | Katherine Juarez Davidson | Nurse Practitioner | 325 E Pioneer # A145, Puyallup, WA 98372 | 2019-01-22 |
1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
1104392109 | Megan Black | Occupational Therapist | 40 29th St Ne, Puyallup, WA 98372 | 2018-10-17 |
1063919470 | Myriah Shekinah Olakpe | Occupational Therapist | 516 Se 23rd Ave, Puyallup, WA 98372 | 2018-04-11 |
1902330202 | Tyler Girdler | Student in an Organized Health Care Education/Training Program | 1322 3rd Street Se Suite 240, Puyallup, WA 98372 | 2017-04-13 |
1770039471 | Mahalakshmi Hariharan | Pharmacist | 2117 28th St Se, Puyallup, WA 98372 | 2016-09-01 |
1801241112 | Nawazish Ali | Internal Medicine | 401 15th Ave Se Multicare God Samartian Hopsital, Puyallup, WA 98372 | 2016-04-25 |
1932567559 | Denice L. Voss | Physical Therapist | 400 29th St. Ne, Puyallup, WA 98372 | 2016-02-10 |
Find all providers in zip 98372 |
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 |
---|---|---|---|---|
1356742092 | Nathan Gray | Massage Therapist | 11923 22nd Street Ct E, Edgewood, WA 98372-1649 | 2014-09-12 |
1871934034 | Elizabeth C Christensen | Massage Therapist | 1917 Old Us 66, Suite G, Edgewood, NM 87015-6762 | 2013-07-16 |
1265619316 | Bonnie Janette Harrison | Massage Therapist | 3307 Meridian Ave E, Edgewood, WA 98371-2609 | 2008-01-30 |
1598899908 | Cheryl Lynn Phillips | Massage Therapist | 2121 Meridian Ave E, Suite 9, Edgewood, WA 98371-1006 | 2007-03-15 |
1952939159 | Mika R Brown | Massage Therapist | 1020 Edgewood Rd, Edgewood, MD 21040-1606 | 2020-04-01 |
1104477272 | Josephine D Bruenn | Massage Therapist | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2019-09-20 |
1023668878 | Monica Bruenn | Massage Therapist | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2019-09-13 |
1497196182 | Mollijoy Arlene Boersema | Massage Therapist | 2809 Meridian Ave E, Edgewood, WA 98371-2108 | 2013-07-10 |
1851633135 | Tracey Hughes | Massage Therapist | 1 Linnie Ct, Edgewood, NM 87015-9125 | 2013-03-25 |
1265628838 | Joan Marie Shephard | Massage Therapist | 1625 Meridian Ave E, Edgewood, WA 98371-1013 | 2007-09-18 |
Find all providers in EDGEWOOD |
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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.