LIFECARE THERAPEUTIC MASSAGE AND HEALTH CLINIC (NPI# 1659623445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659623445 |
| Entity Type | Organization |
| Organization Name | LIFECARE THERAPEUTIC MASSAGE AND HEALTH CLINIC |
| Practice Address |
7981 168th Ave Ne Ste 140 Redmond WA 98052 |
| Practice Telephone | 4258614600 |
| Mailing Telephone | 4258614600 |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-09 |
| Authorized Official Name | MR. WILLIAM TIM KELLEY (OWNER/SR. THERAPIST) |
| Authorized Official Telephone | 4258614600 |
| Authorized Official Credential | LMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00013010 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7981 168TH AVE NE STE 140 |
| City | REDMOND |
| State | WA |
| Zip Code | 98052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982714127 | Anne E. Kammeyer | Massage Therapist | 7981 168th Ave Ne, Suite 136, Redmond, WA 98052-0911 | 2006-08-30 |
| 1457720419 | Shannon Anneke Price | Marriage & Family Therapist | 7981 168th Ave Ne, Sutie 105, Redmond, WA 98052-0911 | 2015-09-21 |
| 1841543659 | Thalia Marie Ryer | Counselor | 7981 168th Ave Ne, Suite 220, Redmond, WA 98052-0911 | 2012-10-17 |
| 1407123250 | People Inc. | Community/Behavioral Health | 7981 168th Ave Ne, Suite 108, Redmond, WA 98052-0911 | 2011-11-22 |
| 1891083309 | Ana Cristina Bravo-camelo | Counselor | 7981 168th Ave Ne, Suite 202, Redmond, WA 98052-0911 | 2011-07-18 |
| 1821314394 | Paula June Jensen | Counselor | 7981 168th Ave Ne, Suite 224, Redmond, WA 98052 | 2010-04-08 |
| 1679738173 | Vicki Adams | Counselor | 7981 168th Ave Ne, #142, Redmond, WA 98052-0911 | 2008-07-23 |
| 1124233697 | Susan Renee Balodis-cox | Counselor | 7981 168th Ave Ne, Suite 208, Redmond, WA 98052-0911 | 2007-05-10 |
| 1699831859 | Iris M, Deltoro | Psychiatry & Neurology | 7981 168th Ave Ne, Suite 100, Redmond, WA 98052-0911 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| 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 |
|---|---|---|---|---|
| 1699387126 | Britney Ann Carreon | Massage Therapist | 1397 Nw 6th St Bldg 19a, Redmond, OR 97756-1433 | 2020-08-17 |
| 1639700164 | Vivian Heather May | Massage Therapist | 8610 164th Ave Ne Apt 19, Redmond, WA 98052-3640 | 2020-02-03 |
| 1548819923 | Octavian Natural Health Pllc | Massage Therapist | 16450 Redmond Way Unit 125, Redmond, WA 98052-2479 | 2019-09-08 |
| 1740740612 | Jeanelle Parrott | Massage Therapist | 22635 Ne Marketplace Dr Ste 130, Redmond, WA 98053-5885 | 2019-03-25 |
| 1487124251 | Brittney Lynn Zook | Massage Therapist | 249 Nw 27th Ct, Redmond, OR 97756-7215 | 2018-12-04 |
| 1598233108 | Aya Nakamura | Massage Therapist | 16828 Ne 79th St, Redmond, WA 98052-4424 | 2018-11-13 |
| 1033609912 | Harmony Rachel Tracy | Massage Therapist | 1680 Sw 21st St, Redmond, OR 97756-9570 | 2018-05-16 |
| 1821516014 | Ellen Crownover | Massage Therapist | 2593 Sw 27th St, Redmond, OR 97756-8125 | 2017-09-07 |
| 1225568561 | Hannah Louise Fish | Massage Therapist | 1508 Nw 8th St, Redmond, OR 97756-1102 | 2017-06-19 |
| 1043750607 | Melissa Goray | Massage Therapist | 2231 Sw 29th St, Redmond, OR 97756-8059 | 2017-03-02 |
| Find all providers in REDMOND | ||||
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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.