AMANDA WAGGONER


Address: 10815 Kenai Spur Hwy, Kenai, AK 99611-7848
Phone: 9072835414

AMANDA WAGGONER (NPI# 1558861567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1558861567
Entity Type Individual
Full Name AMANDA WAGGONER
Practice Address 10815 Kenai Spur Hwy
Kenai
AK 99611-7848
Mailing Address Po Box 2445
Kenai
AK 99611-2445
Practice Telephone 9072835414
Mailing Telephone 9073947419
Enumeration Date 2018-02-16
Last Update Date 2018-02-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers AMANDA WAGGONER

NPI Name Taxonomy Address Enumeration
1164999421 Amanda Waggoner Psychologist 725 N 12th Ave Bldg B, Arcadia, FL 34266-8752 2018-10-25
1275932618 Amanda Waggoner Social Worker 8320 Madison Ave, Indianapolis, IN 46227-6066 2014-08-21
1477634582 Amanda Mitchell Waggoner Physician Assistant 6160 Kempsville Cir, Suite 200 A, Norfolk, VA 23502-3933 2006-10-17

Office Location

Street Address 10815 KENAI SPUR HWY
City KENAI
State AK
Zip Code 99611-7848

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194802819 Michael D Koob Chiropractor 10815 Kenai Spur Hwy, Kenai, AK 99611-7848 2006-11-01
1700371663 Katie Hawkins Massage Therapist 10815 Kenai Spur Hwy, Kenai, AK 99611-7848 2018-06-24
1720576697 Gretchen Elizabeth Graeff Massage Therapist 10815 Kenai Spur Hwy, Kenai, AK 99611 2018-04-26
1710485362 Sage Colter Link Massage Therapist 10815 Kenai Spur Hwy, Kenai, AK 99611-7848 2018-01-29
1285150573 Spinal-care Incorporated Chiropractor 10815 Kenai Spur Hwy, Kenai, AK 99611-7848 2017-08-17
1972836674 David Edwards-smith Massage Therapist 10815 Kenai Spur Hwy, Kenai, AK 99611-7848 2009-09-12
1306099536 Shane A Massey Chiropractor 10815 Kenai Spur Hwy, Kenai, AK 99611-7848 2008-10-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649803099 Guardian Flight LLC Ambulance 145 Granite Point Ct, Kenai, AK 99611 2020-02-13
1104482967 James Daniel Hudson Massage Therapist 601 Frontage Rd Suite 103, Kenai, AK 99611 2019-05-16
1255996351 Shelly Lynn Niblack Counselor 10200, Kenai Sour Hwy, Kenai, AK 99611 2019-05-03
1780142042 Odyssey Family Practice LLC Clinic/Center 11595 Kenai Spur Highway, Kenai, AK 99611 2019-03-06
1043793656 Jerri Ann Chivers Massage Therapist 10815 Kenai Spur Highway, Kenai, AK 99611 2018-09-10
1003320060 Christine G. Morin Massage Therapist 1608 Tanga Circle, Kenai, AK 99611 2017-11-28
1013433259 Amanda Mckinley Registered Nurse 630 Barnacle Way Suite A, Kenai, AK 99611 2017-08-18
1780132753 Kenai Peninsula Imaging Center LLC Clinic/Center 100 Trading Bay Rd Ste 7, Kenai, AK 99611 2016-09-19
1376905000 Savana Long Licensed Practical Nurse 1700 Cone Avenue, Kenai, AK 99611 2016-03-22
1477977684 Jac Enterprises, Inc. Assisted Living Facility 701 North Forest Dr, Kenai, AK 99611 2014-02-07
Find all providers in zip 99611

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104482967 James Daniel Hudson Massage Therapist 601 Frontage Rd Suite 103, Kenai, AK 99611 2019-05-16
1043793656 Jerri Ann Chivers Massage Therapist 10815 Kenai Spur Highway, Kenai, AK 99611 2018-09-10
1871072355 Anna Melissa Martin Massage Therapist 105 Trading Bay Rd Ste 105, Kenai, AK 99611-7768 2018-08-07
1003320060 Christine G. Morin Massage Therapist 1608 Tanga Circle, Kenai, AK 99611 2017-11-28
1134676638 Darren Gibson Massage Therapist 1415 Obrien Ct, Kenai, AK 99611-7601 2016-09-01
1225484017 Angie Kay Wellborn Massage Therapist 45202 Holt Lamplight Rd, Kenai, AK 99611-9383 2016-05-11
1336494913 Karen Lorraine Carpenter Massage Therapist 38792 Kalifornsky Beach Road, Suite 5, Kenai, AK 99611-6443 2012-07-19
1700371663 Katie Hawkins Massage Therapist 10815 Kenai Spur Hwy, Kenai, AK 99611-7848 2018-06-24
1720576697 Gretchen Elizabeth Graeff Massage Therapist 10815 Kenai Spur Hwy, Kenai, AK 99611 2018-04-26
1710485362 Sage Colter Link Massage Therapist 10815 Kenai Spur Hwy, Kenai, AK 99611-7848 2018-01-29
Find all providers in KENAI

Competitor

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City KENAI
Zip Code 99611

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Dataset Information

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.

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