MARY BEAUDETTE


Address: 10117 Main St, Bothell, WA 98011-3425
Phone: 4258065525

MARY BEAUDETTE (NPI# 1629440011) 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) 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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172M00000X Mechanotherapist MA60598749 WA Other Service Providers

Office Location

Street Address 10117 MAIN ST
City BOTHELL
State WA
Zip Code 98011-3425

Providers in the same location

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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Providers in the same zip code

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 Information

Taxonomy Code 172M00000X
Grouping Other Service Providers
Classification Mechanotherapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City BOTHELL
Zip Code 98011

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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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