KELLIE L JOHNSON (NPI# 1689064321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689064321 |
| Entity Type | Individual |
| Full Name | KELLIE L JOHNSON |
| Credential | LMP |
| Practice Address |
10700 Se 208th St Ste 207 Kent WA 98031-5545 |
| Practice Telephone | 2538543185 |
| Practice Fax Number | 2538529210 |
| Mailing Telephone | 2538543185 |
| Mailing Fax Number | 2538529210 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60533847 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871860817 | Kellie Simpson Johnson | Speech-Language Pathologist | 5106 W Running Brook Rd, Columbia, MD 21044-1522 | 2011-11-18 |
| 1750690004 | Kellie Diann Johnson | Licensed Vocational Nurse | 1412 15th St, Huntsville, TX 77340-4430 | 2010-10-05 |
| 1447307632 | Kellie Suzanne Johnson | General Practice | 2221 9th St Sw, Canton, OH 44706-1464 | 2007-01-03 |
| 1346337375 | Kellie Anita Johnson | Dentist | 815 E Berry St # B, Ft Worth, TX 76110-4414 | 2006-10-10 |
| 1235741331 | Kellie Lucille Johnson | Physical Therapist | 3747 Sw Raintree Dr, Lees Summit, MO 64082-4606 | 2020-08-19 |
| 1124553870 | Kellie Johnson | Occupational Therapist | 1301 Pierce Ave, Toronto, OH 43964-1015 | 2017-05-01 |
| 1487192696 | Kellie Johnson | Licensed Practical Nurse | 1910 Arthur Ave, Bronx, NY 10457-6305 | 2017-02-08 |
| 1689916447 | Kellie Marie Johnson | Counselor | 1490 University Blvd, Hamilton, OH 45011-3305 | 2013-03-20 |
| 1750632089 | Kellie Renae Johnson | Specialist | 1315 Sw 6th Ave Ste B, Topeka, KS 66606-1582 | 2012-09-26 |
| 1396975553 | Kellie Nicole Johnson | Nurse Practitioner | 1600 S 48th St, Suite 600, Lincoln, NE 68506-1283 | 2009-07-22 |
| Street Address |
10700 SE 208TH ST STE 207 |
| City | KENT |
| State | WA |
| Zip Code | 98031-5545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033178710 | Garry W Baldwin | Chiropractor | 10700 Se 208th St Ste 207, Kent, WA 98031-5545 | 2006-03-21 |
| 1457823957 | Alana L Rhodes | Massage Therapist | 10700 Se 208th St Ste 207, Kent, WA 98031-5545 | 2018-12-20 |
| 1578061107 | Brenda Manookin | Massage Therapist | 10700 Se 208th St Ste 207, Kent, WA 98031-5545 | 2018-01-29 |
| 1184083180 | Baldwin Chiropractic Pllc | Chiropractor | 10700 Se 208th St Ste 207, Kent, WA 98031-5545 | 2016-02-18 |
| 1457620072 | Suze St Louis | Massage Therapist | 10700 Se 208th St Ste 207, Kent, WA 98031-5545 | 2011-12-28 |
| 1326345281 | Leah Mills | Massage Therapist | 10700 Se 208th St Ste 207, Kent, WA 98031-5545 | 2011-02-11 |
| 1588997654 | Sara Michelle Sas | Massage Therapist | 10700 Se 208th St Ste 207, Kent, WA 98031-5545 | 2009-09-08 |
| 1003066507 | Michael John Bostjancic | Chiropractor | 10700 Se 208th St Ste 207, Kent, WA 98031-5545 | 2008-09-22 |
| 1316129851 | Courtney Anne Bostjancic | Chiropractor | 10700 Se 208th St Ste 207, Kent, WA 98031-5545 | 2007-11-27 |
| 1760606628 | Andrea L Miller | Massage Therapist | 10700 Se 208th St Ste 207, Kent, WA 98031-5545 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861043325 | Deanna Lila Fuller | Technician | 21417 122nd Place Se, Kent, WA 98031 | 2019-09-26 |
| 1386092054 | Amninder Ripsy Nagra-kaur | Licensed Practical Nurse | 10016 Se 218th Pl, Kent, WA 98031 | 2016-06-02 |
| 1033575113 | Amanda Jane Holen | Nurse Practitioner | 202 State Avenue North, Kent, WA 98031 | 2016-01-05 |
| 1578951281 | Katherine Mitchell | Counselor | 12400 Se 233rd St, Kent, WA 98031 | 2015-01-03 |
| 1376804997 | San Lwai | Internal Medicine | 20040 - 120th Ave S.e., Kent, WA 98031 | 2012-05-30 |
| 1013106822 | Fiorella Andrea Diaz | Interpreter | 20029 104th Place Se, Kent, WA 98031 | 2007-10-17 |
| 1750599361 | Northwest Transport | Non-emergency Medical Transport (VAN) | 22627 85th Pl S, Kent, WA 98031 | 2007-05-18 |
| 1750596953 | Rhonda H. James | Licensed Practical Nurse | 21252 94th Pl. S, Kent, WA 98031 | 2007-05-11 |
| 1124172846 | Jeffrey W Baxter | Counselor | 10024 Se 240th, Suite 116 James Street Building, Kent, WA 98031 | 2007-01-22 |
| 1043398407 | Option 1 Northwest Enteral LLC | Durable Medical Equipment & Medical Supplies | 8633 South 212th Street, Kent, WA 98031 | 2006-11-02 |
| Find all providers in zip 98031 | ||||
| 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 |
|---|---|---|---|---|
| 1609421635 | Sabrina Michelle Jones | Massage Therapist | 25022 104th Ave Se Ste E, Kent, WA 98030-2822 | 2019-08-06 |
| 1124686621 | Shannon Strong | Massage Therapist | 64 Maple St Ste 1, Kent, CT 06757-1721 | 2019-05-31 |
| 1184180135 | Olesya Tkachyshyn | Massage Therapist | 11738 Se 264th St, Kent, WA 98030-8467 | 2019-02-14 |
| 1033683529 | William Kelly Blackburn | Massage Therapist | 24620 Russell Rd Apt D102, Kent, WA 98032-4745 | 2019-01-17 |
| 1811460306 | Alla Yakobchuk | Massage Therapist | 11108 Se 264th Pl, Kent, WA 98030-9032 | 2019-01-07 |
| 1821560798 | Jeanmarie Meier | Massage Therapist | 12505 Se 275th Pl, Kent, WA 98030-8523 | 2018-12-17 |
| 1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
| 1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
| 1295233328 | Tommy Eugene Sauget | Massage Therapist | 29020 188th Ave Se, Kent, WA 98042-9223 | 2018-01-23 |
| 1710408968 | Celyna Dayanara Easley | Massage Therapist | 27020 Pacific Hwy S Ste B, Kent, WA 98032-6951 | 2017-06-28 |
| Find all providers in KENT | ||||
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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.