MARY BEAUDETTE (NPI# 1629440011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629440011 |
Entity Type | Individual |
Full Name | MARY BEAUDETTE |
Credential | LMP |
Practice Address |
10117 Main St Bothell WA 98011-3425 |
Mailing Address |
5430 W Interurban Blvd Bothell WA 98012-6719 |
Practice Telephone | 4258065525 |
Mailing Telephone | 4258771156 |
Enumeration Date | 2015-10-23 |
Last Update Date | 2015-10-23 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172M00000X | Mechanotherapist | MA60598749 | WA | Other Service Providers |
Street Address |
10117 MAIN ST |
City | BOTHELL |
State | WA |
Zip Code | 98011-3425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417282948 | Denise Chan | Massage Therapist | 10117 Main St, Bothell, WA 98011-3425 | 2009-10-16 |
1255956322 | Nicole Christina Neff | Massage Therapist | 10117 Main St, Bothell, WA 98011-3425 | 2020-06-14 |
1861037152 | Heather Almvig | Massage Therapist | 10117 Main St, Bothell, WA 98011-3425 | 2019-11-11 |
1790248664 | Xin Qu | Massage Therapist | 10117 Main St, Bothell, WA 98011-3425 | 2019-04-09 |
1649743303 | Yun Mi Jang | Massage Therapist | 10117 Main St, Bothell, WA 98011-3425 | 2019-01-05 |
1003388596 | Mariko O Spalding | Massage Therapist | 10117 Main St, Bothell, WA 98011-3425 | 2018-12-20 |
1215406632 | Nicole Ann Trboyevich | Massage Therapist | 10117 Main St, Bothell, WA 98011-3425 | 2018-11-14 |
1063993210 | Joesph Jonathan Chen | Massage Therapist | 10117 Main St, Bothell, WA 98011-3425 | 2018-08-26 |
1962988675 | Monica White | Massage Therapist | 10117 Main St, Bothell, WA 98011-3425 | 2018-07-16 |
1346738622 | Zachary Gilson | Massage Therapist | 10117 Main St, Bothell, WA 98011-3425 | 2018-04-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
1912353111 | Pediatric Associates, Inc., Dba Allegro Pediatrics | Pediatrics | 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 | 2016-05-06 |
1699145508 | Kelsie Ann Mcgladrey | Physical Therapist | 18504 Bethell Way Ne, Bethell, WA 98011 | 2015-10-05 |
1205217882 | Isaac-gregory Hyde Robancho | Massage Therapist | 10024 Main Street, Suite 2 C, Bothell, WA 98011 | 2015-06-09 |
1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
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Taxonomy Code | 172M00000X |
Grouping | Other Service Providers |
Classification | Mechanotherapist |
A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952750994 | Jenna Leigh Anderson | Mechanotherapist | 22627 Bothell Everett Hwy Ste D-e, Bothell, WA 98021-8499 | 2016-06-09 |
1275780553 | Jerilyn D Pleticha | Mechanotherapist | 16421 3rd Dr Se, Bothell, WA 98012-6383 | 2008-08-19 |
1851530869 | Joshua U Morton | Mechanotherapist | 18404 102nd Ave Ne, Bothell, WA 98011-3213 | 2009-02-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871024059 | Island Wellness Center | Mechanotherapist | 470 Spring St Ste 103, Friday Harbor, WA 98250-7230 | 2017-03-21 |
1710425418 | Diana Diamond | Mechanotherapist | 13307 28th Ave Se, Mill Creek, WA 98012-4641 | 2017-02-02 |
1568909711 | Marisa Seana Wentz | Mechanotherapist | 307 S 12th Ave Ste 9, Yakima, WA 98902-3138 | 2017-01-26 |
1467904896 | Carmel Mundell | Mechanotherapist | 8644 S Thompson Ave, Tacoma, WA 98444-4468 | 2016-11-02 |
1235680505 | Nataliya Soroka | Mechanotherapist | 26818 115th Pl Se, Kent, WA 98030-8478 | 2016-10-20 |
1295281038 | Jenny Monfore | Mechanotherapist | 6633 Sw Admiral Way, Seattle, WA 98116 | 2016-08-31 |
1942754668 | Kassandra Bizauskas | Mechanotherapist | 100 Station Drive Suite 100, Dupont, WA 98327-8727 | 2016-08-10 |
1033562368 | Michael Coffey | Mechanotherapist | 9508 Ne 70th St, Vancouver, WA 98662-4536 | 2016-07-21 |
1558713248 | Angela Wapner | Mechanotherapist | 139 23rd Ave S, Seattle, WA 98144-2301 | 2016-07-06 |
1992156004 | Barbara Federspiel | Mechanotherapist | 1489 Hillspring Rd, Bellingham, WA 98226-8825 | 2016-06-29 |
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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.