AMANDA LONGAN (NPI# 1578931218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578931218 |
| Entity Type | Individual |
| Full Name | AMANDA LONGAN |
| Practice Address |
2236 Callanan St Shelton WA 98584-1904 |
| Practice Telephone | 3604900498 |
| Mailing Telephone | 3604900498 |
| Enumeration Date | 2015-09-11 |
| Last Update Date | 2015-09-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60568438 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2236 CALLANAN ST |
| City | SHELTON |
| State | WA |
| Zip Code | 98584-1904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023627478 | Ashley Maria Elena Armstrong | Counselor | 307 W Cota St Shelton, Shelton, WA 98584 | 2020-07-30 |
| 1962011015 | Perry Philemon Little IIi | Dentist | 503 N 4th St, Shelton, WA 98584 | 2020-07-24 |
| 1588215271 | Rebecca Lynn Adams | Counselor | 601 West Franklin St, Shelton, WA 98584 | 2019-09-24 |
| 1366939670 | Robbie Chandler | Social Worker | 807 West Pine, Shelton, WA 98584 | 2018-04-23 |
| 1831603075 | Fir Lane Health-shelton,llc | Skilled Nursing Facility | 2430 North 13th St, Shelton, WA 98584 | 2017-11-27 |
| 1306361738 | Christine Lee Woods | Counselor | 58150 E. 66th Road, Miami, OK 98584 | 2017-08-07 |
| 1174063051 | Claudette V. Selkridge | Counselor | 1620 N. Olympic Hwy, Shelton, WA 98584 | 2017-02-27 |
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1023497310 | Darren Cuevas | Family Medicine | 939 Mountain View Dr Ste 100, Shelton, WA 98584 | 2015-05-20 |
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| Find all providers in zip 98584 | ||||
| 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 |
|---|---|---|---|---|
| 1033718036 | Vanessa Gutierrez-santana | Massage Therapist | 31 Middle Ave, Shelton, CT 06484-3949 | 2020-10-21 |
| 1740897446 | Jennifer Dolan | Massage Therapist | 28 Tahmore Pl, Shelton, CT 06484-1740 | 2020-09-26 |
| 1245715051 | Sara Kristine Reifschneider | Massage Therapist | 65 E Wildflower Ln, Shelton, WA 98584-7377 | 2018-09-27 |
| 1427562032 | Marilia Cotto | Massage Therapist | 1 Trap Falls Rd Ste 209, Shelton, CT 06484-4698 | 2017-11-20 |
| 1043663073 | Joan Summers | Massage Therapist | 1321 Dearborn Ave, Shelton, WA 98584-1111 | 2016-07-14 |
| 1568877223 | Paula Bigley | Massage Therapist | 150 W William White Way, Shelton, WA 98584-8957 | 2014-06-21 |
| 1912335167 | Misty Knight | Massage Therapist | Se 1061 Stare Route 3, Shelton, WA 98584 | 2013-10-25 |
| 1447692207 | Monte D. Larson | Massage Therapist | 670 Se Crescent Dr, Shelton, WA 98584-9228 | 2013-07-22 |
| 1508140542 | Elaine Marie Matteson | Massage Therapist | 311 Cookson St, Shelton, WA 98584-2219 | 2011-10-10 |
| 1760789572 | Michelle R Smith | Massage Therapist | 316 W G St, Shelton, WA 98584-4147 | 2011-02-15 |
| Find all providers in SHELTON | ||||
Please comment or provide details below to improve the information on AMANDA LONGAN.
| 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.