BENJAMIN MOORE (NPI# 1609241819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609241819 |
| Entity Type | Individual |
| Full Name | BENJAMIN MOORE |
| Practice Address |
2207 N Molter Rd Ste 250 Liberty Lake WA 99019-7582 |
| Practice Telephone | 5098939939 |
| Practice Fax Number | 5098939107 |
| Mailing Telephone | 5098939939 |
| Mailing Fax Number | 5098939107 |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2016-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | MAS-2802 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225700000X | Massage Therapist | MA60614122 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447887096 | Benjamin J Moore | Physician Assistant | 4920 S 30th St Ste 103, Omaha, NE 68107-1656 | 2020-03-24 |
| 1427562685 | Benjamin Moore | Physical Medicine & Rehabilitation | 8301 E Prentice Ave Ste 207, Greenwood Village, CO 80111-2905 | 2017-11-27 |
| 1043668791 | Benjamin Moore | Physical Therapist | 4909 Nolensville Rd, Nashville, TN 37211-5411 | 2016-06-02 |
| 1992186415 | Benjamin Ross Moore | Dentist | 15 Rawls Rd, Suite 200, Angier, NC 27501-6033 | 2015-06-10 |
| 1568801504 | Benjamin Moore | Counselor | 2305 Old County Rd, Pocahontas, AR 72455-4148 | 2013-06-24 |
| 1710208848 | Benjamin Virlow Moore | Social Worker | 575 East 100 South, Price, UT 84501 | 2010-06-11 |
| 1518131754 | Benjamin C Moore | Obstetrics & Gynecology | 421 S 28th Ave, Suite 200, Hattiesburg, MS 39401-7206 | 2008-04-18 |
| 1548459498 | Benjamin Alan Moore | Optometrist | 401 W Main St, Suite A, John Day, OR 97845-1075 | 2007-10-16 |
| 1033240981 | Benjamin R Moore | Physical Therapist | 555 East Broadway, Suite 100, Jackson, WY 83001 | 2007-03-09 |
| 1558342196 | Benjamin E Moore | Specialist | 2 Shircliff Way, Ste 925, Jacksonville, FL 32204-4753 | 2005-11-10 |
| Street Address |
2207 N MOLTER RD STE 250 |
| City | LIBERTY LAKE |
| State | WA |
| Zip Code | 99019-7582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194944587 | Daniel S Chamberlain | Chiropractor | 2207 N Molter Rd Ste 250, Liberty Lake, WA 99019-7582 | 2007-04-24 |
| 1144791146 | Teagan Luckey | Massage Therapist | 2207 N Molter Rd Ste 250, Liberty Lake, WA 99019-7582 | 2018-12-17 |
| 1548632938 | Xiola Sabastian | Massage Therapist | 2207 N Molter Rd Ste 250, Liberty Lake, WA 99019-7582 | 2015-10-23 |
| 1720475288 | Ruth Nassen | Specialist | 2207 N Molter Rd Ste 250, Liberty Lake, WA 99019-7582 | 2015-04-22 |
| 1679906788 | Jessica Stevens | Massage Therapist | 2207 N Molter Rd Ste 250, Liberty Lake, WA 99019-7582 | 2013-08-12 |
| 1679756167 | Rachel Lynnette Yeaman | Massage Therapist | 2207 N Molter Rd Ste 250, Liberty Lake, WA 99019-7582 | 2007-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194201533 | Lorena Margaret De La Rosa | Nurse Practitioner | 22820 E Appleway Ave Ste A, Liberty Lake, WA 99019 | 2018-07-18 |
| 1831641570 | Shirla Underwood | Spec/Tech, Cardiovascular | 3705 S Molter Rd, Liberty Lake, WA 99019 | 2016-10-28 |
| 1215393079 | Samuel Lionel Nelson | Chiropractor | 23801 East Appleway Ave, #110, Liberty Lake, WA 99019 | 2016-01-11 |
| 1841627601 | Noland Peterdy | Pharmacist | 1423 N Molter 727, Liberty Lake, WA 99019 | 2013-10-10 |
| 1043559446 | Phillip Wayne Harris | Reflexologist | E 23505 Appleway, Liberty Lake, WA 99019 | 2013-02-05 |
| 1710231766 | Mark Autrey | Pharmacist | 23010 E Settler Drive, Spokane, WA 99019 | 2012-10-30 |
| 1982971107 | Michele Ladd | Dental Hygienist | 22826 East Clearwater Lane, Liberty Lake, WA 99019 | 2011-11-17 |
| 1467689166 | Drostan Gregg Baker | Family Medicine | 2207 N Molter Rd Ste 203, Liberty Lake, WA 99019 | 2009-06-19 |
| 1619117959 | Joline Marie Messina | Behavioral Analyst | 1324 N Liberty Lake Rd # 193, Liberty Lake, WA 99019 | 2009-02-26 |
| 1144427964 | J. Evans, Dmd, P.s. | Dentist | 1327 N Stanford Lane, Suite B, Liberty Lake, WA 99019 | 2007-06-27 |
| Find all providers in zip 99019 | ||||
| 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 |
|---|---|---|---|---|
| 1275177529 | Kristen Elizabeth Heacox | Massage Therapist | 24326 E Maxwell Ave, Liberty Lake, WA 99019-8633 | 2019-10-30 |
| 1053877563 | Lisa A Tarr | Massage Therapist | 1334 N Whitman Ln Ste 140, Liberty Lake, WA 99019-6034 | 2019-02-20 |
| 1255842134 | Jacklyn Rose Petretee | Massage Therapist | 24850 E Stonecrest Ave, Liberty Lake, WA 99019-3403 | 2017-10-18 |
| 1164932158 | Cyndi Rai | Massage Therapist | 23801 E Appleway Ave Ste 220, Liberty Lake, WA 99019-9687 | 2017-10-04 |
| 1548554710 | Matthew Bryant Delker | Massage Therapist | 1017 N Homestead Dr, Liberty Lake, WA 99019-8555 | 2011-06-06 |
| 1831323344 | Staci Wixom Jacobs | Massage Therapist | 1235 N Liberty Lake Rd, Suite 106, Liberty Lake, WA 99019-7581 | 2009-05-12 |
| 1346449089 | Sedonni Kaye Jones | Massage Therapist | 21200 E Country Vista Dr Apt I202, Liberty Lake, WA 99019-7681 | 2007-07-13 |
| 1760608087 | Jennifer Janzen | Massage Therapist | 2207 N. Molter Rd., Sut. 250, Liberty Lake, WA 99109 | 2007-04-17 |
| 1700908803 | Shenae' M Dolan | Massage Therapist | 23801 E. Appleway, Liberty Lake, WA 99019 | 2007-04-06 |
| 1245871508 | Shenette Gamoyao Cross | Massage Therapist | 2207 N Molter Rd, Liberty Lake, WA 99019-7570 | 2019-10-07 |
| Find all providers in LIBERTY LAKE | ||||
| City | LIBERTY LAKE |
| Zip Code | 99019 |
Please comment or provide details below to improve the information on BENJAMIN MOORE.
| 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.