KELLY R WANAMAKER (NPI# 1679760136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679760136 |
| Entity Type | Individual |
| Full Name | KELLY R WANAMAKER |
| Credential | LMP |
| Practice Address |
17651 1st Ave S Ste 101 Normandy Park WA 98148-2715 |
| Practice Telephone | 2062413836 |
| Practice Fax Number | 2062413967 |
| Mailing Telephone | 2062413836 |
| Mailing Fax Number | 2062413967 |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00019960 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR AND INDUSTRIES | 0224172 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578713939 | Kelly M Wanamaker | Surgery | 1250 S Cedar Crest Blvd Ste 310, Allentown, PA 18103-6381 | 2008-09-23 |
| Street Address |
17651 1ST AVE S STE 101 |
| City | NORMANDY PARK |
| State | WA |
| Zip Code | 98148-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245258854 | Kevin Wayne Manchester | Chiropractor | 17651 1st Ave S, #101, Normandy Park, WA 98148-2715 | 2006-07-18 |
| 1134459985 | Amanda Trout | Massage Therapist | 17651 1st Ave S, Ste 101, Normandy Park, WA 98148-2715 | 2009-12-29 |
| 1063641405 | Natalya Moskalenko | Massage Therapist | 17651 1st Ave S, Ste 101, Normandy Park, WA 98148-2715 | 2009-07-07 |
| 1649467101 | Brian Martin Stuck | Chiropractor | 17651 1st Ave S, Ste 101, Normandy Park, WA 98148-2715 | 2007-09-28 |
| 1942301924 | Daryll George Marshall-inman | Chiropractor | 17651 1st Ave S, Normandy Park, WA 98148-2715 | 2006-09-25 |
| 1205934684 | Daryll G. Marshall-inman Dc Inc. | Respiratory Therapist, Registered | 17651 1st Ave S, #101, Normandy Park, WA 98148-2715 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871127894 | Meghan Eileen Spain | Dentist | 1810 8th Ave S, Seatac, WA 98148 | 2020-02-28 |
| 1346615978 | Tawnesha R Hector | Massage Therapist | 15858 1st Ave South, Suite A104, Burien, WA 98148 | 2015-12-08 |
| 1043552862 | Prashant Gupta | Family Medicine | 16045 1st Ave S # F1, Burien, WA 98148 | 2013-03-19 |
| 1205177110 | Lucy Krakowiak | Massage Therapist | 15858 - 1st Ave South, Ste A104, Burien, WA 98148 | 2013-03-04 |
| 1467639765 | Zahra Anne Young | Physical Therapist | 17692 1st Ave. South, Normandy Park, WA 98148 | 2008-01-29 |
| 1962694224 | Thomas Wayne Pllc | Chiropractor | 15858 1st Avenue South, Suite #a104, Burien, WA 98148 | 2007-08-10 |
| 1063616316 | Highline School District | Counselor | 15675 8th Avenue S, Burien, WA 98148 | 2007-06-12 |
| 1487798682 | Stephanie Rene Lillejord | Massage Therapist | 308 S 184th St, Burien, WA 98148 | 2007-02-19 |
| 1548335169 | Affordable Dental Care | Dentist | 15726 1st Ave S, Burien, WA 98148 | 2006-11-21 |
| 1568967610 | Jacqueline Anne Meier | Massage Therapist | 15858 1st Ave South, Ste# A104, Burien, WA 98148 | 2018-03-29 |
| Find all providers in zip 98148 | ||||
| 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 |
|---|---|---|---|---|
| 1851859656 | Shawna Rose Costello | Massage Therapist | 19987 1st Ave S Ste 103, Normandy Park, WA 98148-2400 | 2019-03-11 |
| 1215467329 | Amy Elizabeth Castillo | Massage Therapist | 1204 Sw 168th St, Normandy Park, WA 98166 | 2017-06-13 |
| 1114291960 | Annaliesa Ruth Himmel | Massage Therapist | 17166 6th Pl Sw, Normandy Park, WA 98166-3534 | 2012-02-25 |
| 1821262122 | Danny Douglas Steele | Massage Therapist | 18537 1st Ave S, Suite B, Normandy Park, WA 98148-1888 | 2008-04-17 |
| 1609914472 | Kathleen A Appleyard | Massage Therapist | 20612 Marine View Dr Sw, Normandy Park, WA 98166-4238 | 2007-02-02 |
| 1235295262 | Jeanne Walker | Massage Therapist | 19655 1st Ave S Ste 209, Normandy Park, WA 98148-2172 | 2006-12-27 |
| 1063064889 | Leshaw Chiropractic Pllc | Massage Therapist | 17651 1st Ave S Ste 101, Normandy Park, WA 98148-2715 | 2019-07-11 |
| 1104487578 | Rachael Diane Dial | Massage Therapist | 19655 1st Ave S, Normandy Park, WA 98148-2166 | 2019-06-25 |
| 1184009987 | Kathryn Forester | Massage Therapist | 19987 1st Ave S, Suite #102, Normandy Park, WA 98148-2400 | 2015-07-22 |
| 1649573650 | Amanda Justine Knutson | Massage Therapist | 19901 1st Ave S Ste 407, Normandy Park, WA 98148-2411 | 2010-12-13 |
| Find all providers in NORMANDY PARK | ||||
| City | NORMANDY PARK |
| Zip Code | 98148 |
Please comment or provide details below to improve the information on KELLY R WANAMAKER.
| 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.