LAURA KAE PETTY (NPI# 1578834503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578834503 |
| Entity Type | Individual |
| Full Name | LAURA KAE PETTY |
| Credential | LMP |
| Practice Address |
325 S Sullivan Rd Suite B Spokane Valley WA 99037-6019 |
| Mailing Address |
5510 N Bannen Rd Spokane Valley WA 99216-3036 |
| Practice Telephone | 5099289098 |
| Mailing Telephone | 5097236900 |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2012-01-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60237994 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013290196 | Laura Petty | Pharmacist | 201 Nw 63rd St Ste 390, Oklahoma City, OK 73116-8210 | 2011-09-24 |
| 1134431414 | Laura Rush Petty | Obstetrics & Gynecology | 312 Grammont St Ste 300, Monroe, LA 71201-7403 | 2010-07-02 |
| Street Address |
325 S SULLIVAN RD SUITE B |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99037-6019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134378268 | Melissa Joy Poole | Massage Therapist | 325 S Sullivan Rd, Ste. E, Spokane Valley, WA 99037-6019 | 2008-09-12 |
| 1679000194 | Kimberly Antoine | Massage Therapist | 325 S Sullivan Rd, Spokane Valley, WA 99037-6019 | 2017-05-15 |
| 1538605191 | Robert Jon Paul Herrera | Massage Therapist | 325 S Sullivan Rd, Ste B, Spokane Valley, WA 99037-6019 | 2017-01-06 |
| 1063873701 | Jessica Murphy | Massage Therapist | 325 S Sullivan Rd, Ste B, Spokane Valley, WA 99037-6019 | 2016-03-08 |
| 1225407349 | Morgan Berggren-mustard | Massage Therapist | 325 S Sullivan Rd, Spokane Valley, WA 99037-6019 | 2015-09-18 |
| 1952711210 | Terry Impecoven Jr. | Massage Therapist | 325 S Sullivan Rd, Suite B, Spokane Valley, WA 99037-6019 | 2014-05-07 |
| 1255776001 | Keith Frederick Horning | Massage Therapist | 325 S Sullivan Rd, Suite B, Spokane Valley, WA 99037-6019 | 2013-05-07 |
| 1295077030 | Brandi Lynn Sala | Massage Therapist | 325 S Sullivan Rd, Suite B, Spokane Valley, WA 99037-6019 | 2013-03-19 |
| 1750635306 | Bernice Joan Riehle | Massage Therapist | 325 S Sullivan Rd, Suite B, Spokane Valley, WA 99037-6019 | 2012-11-05 |
| 1124378658 | Phounsavanth La Niravanh | Massage Therapist | 325 S Sullivan Rd, Suite B, Spokane Valley, WA 99037-6019 | 2012-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598364143 | Lighthouse Pt & Sports Medicine | Physical Medicine & Rehabilitation | 15413 E Valleyway, Building B-200, Spokane Valley, WA 99037 | 2020-10-23 |
| 1609345727 | Liberty Asc | Clinic/Center | 507 N Sullivan Suite 120, Spokane Valley, WA 99037 | 2018-11-19 |
| 1639542061 | Timothy Richards | Physical Therapist | 15413 E Valleyway Ave, Spokane Valley, WA 99037 | 2015-11-06 |
| 1790055671 | Mark Miles Elmore | Counselor | 1120 N. Pines Rd, Suite C, Spokane Valley, WA 99037 | 2012-01-09 |
| 1578849402 | Gary Jack Schwander | Massage Therapist | 15404 E. Springfield Ave, Suite 100, Spokane Valley, WA 99037 | 2011-10-24 |
| 1811296189 | Jolee P Karr | Physical Therapy Assistant | 15425 E. Mission Ave, Spokane Valley, WA 99037 | 2011-03-25 |
| 1225369564 | Freedomcare of Wa, LLC | In Home Supportive Care | 13120 E 14th Ave, Spokane Valley, WA 99037 | 2010-01-27 |
| 1649507229 | Tiffany Ann Vanderpool | Massage Therapist | 325 S. Sullivan Rd, Spokane Valley, WA 99037 | 2009-11-03 |
| 1104059674 | Rachael Patricia Leonard | Massage Therapist | 325 S. Sullivan, Suite E, Spokane Valley, WA 99037 | 2009-08-31 |
| 1942432638 | Elements Therapeutic Massage-valley | Massage Therapist | 325 S Sullivan, Suite B, Spokane Valley, WA 99037 | 2009-08-14 |
| Find all providers in zip 99037 | ||||
| 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 |
|---|---|---|---|---|
| 1295345346 | Michael Frederick Jackson | Massage Therapist | 12702 E 33rd Ct, Spokane Valley, WA 99206-8372 | 2020-08-04 |
| 1669081246 | Kathryn Arlene Nicholas | Massage Therapist | 18609 E Maxwell Ave, Spokane Valley, WA 99016-8538 | 2020-07-29 |
| 1891328647 | Benjamin Stockton Gaines | Massage Therapist | 13701 E Sprague Ave Ste B417w1, Spokane Valley, WA 99216-0811 | 2020-02-20 |
| 1386276582 | Tawny S Bolding | Massage Therapist | 8923 E Mission Ave, Spokane Valley, WA 99212-2533 | 2020-02-06 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356991764 | Andrea Moore | Massage Therapist | 12308 E Broadway Ave Ste 4, Spokane Valley, WA 99216-2920 | 2019-09-17 |
| 1538628920 | Luke Andrew Kagarice | Massage Therapist | 11717 E Mission Ave, Spokane Valley, WA 99206-4829 | 2019-03-15 |
| 1710482914 | Megan Renee Diaz | Massage Therapist | 3002 N Woodruff Rd, Spokane Valley, WA 99206-4357 | 2018-03-28 |
| 1750889580 | Melissa Lerai Lunsford | Massage Therapist | 1212 N Argonne Rd, Spokane Valley, WA 99212 | 2018-01-26 |
| 1548775638 | Ashlyn Kaye Green | Massage Therapist | 826 N Mullan Rd Ste A, Spokane Valley, WA 99206-4094 | 2017-12-11 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99037 |
Please comment or provide details below to improve the information on LAURA KAE PETTY.
| 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.