DANIEL ILWOO PARK


Address: 15433 Country Club Dr, Unit A206, Mill Creek, WA 98012-1260
Phone: 4258905857

DANIEL ILWOO PARK (NPI# 1699054577) 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) 1699054577
Entity Type Individual
Full Name DANIEL ILWOO PARK
Credential LMP
Practice Address 15433 Country Club Dr
Unit A206
Mill Creek
WA 98012-1260
Mailing Address Po Box 13524
Mill Creek
WA 98082-1524
Practice Telephone 4258905857
Mailing Telephone 4258905857
Enumeration Date 2011-08-10
Last Update Date 2011-08-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA60240620 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers DANIEL PARK

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1376070359 Daniel Ilwoo Park General Practice Building S-555, Apo, AP 96271 2017-05-22
1740739531 Daniel Ingun Park Physical Therapist 4214 162nd St Fl 1, Flushing, NY 11358-4156 2016-09-22
1649605262 Daniel Y Park Physical Therapist 1001 Kamokila Blvd Ste 127, Kapolei, HI 96707-2097 2013-09-13
1447581186 Daniel Jinsang Park Dentist 6777 Westminster Blvd Ste C, Westminster, CA 92683-8057 2010-01-20
1518197938 Daniel Park Emergency Medicine 3300 Douglas Blvd Ste 405, Roseville, CA 95661-3841 2009-07-20
1952546533 Daniel Park Plastic Surgery 2285 Asquith Ave Sw Ste 200, Marietta, GA 30008 2008-12-10
1124201801 Daniel Park Psychiatry & Neurology 1707 W Charleston Blvd Ste 200, Las Vegas, NV 89102-2353 2007-12-17
1598882029 Daniel I Park Denturist 30816 Pacific Hwy S, Federal Way, WA 98003-4902 2007-03-22
1831239391 Daniel Do Young Park Family Medicine 6019 Roosevelt Ave, Suite #201, Woodside, NY 11377-3537 2007-02-07
1598803116 Daniel C Park Dentist 1202 Beaumont Ave, Beaumont, CA 92223-1506 2007-02-03

Office Location

Street Address 15433 COUNTRY CLUB DR
UNIT A206
City MILL CREEK
State WA
Zip Code 98012-1260

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1811502032 Malia Van-frances Chase Behavioral Analyst 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 2020-09-14
1154951804 Thea E Byrne Physical Therapist 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 2020-01-22
1861975526 Jenifer Rae Denormandie Pharmacist 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 2018-09-10
1780161760 Azadeh Fariba Naturopath 15411 40th Dr Se, Bothell, WA 98012 2018-07-23
1720572902 Rickey Lee Mcgregor Counselor 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 2018-06-20
1306349865 Rudi Lauren Romaine Behavioral Analyst 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 2018-03-12
1164961025 Wickler Behavioral Consulting Behavioral Analyst 632 182nd Street Se, Bothell, WA 98012 2017-02-13
1588026413 Nathan Earl Crawford Massage Therapist 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 2016-03-21
1144618083 Jocelyn Enabulele Counselor 19105 Waxen Road, Bothell, WA 98012 2014-12-30
1124426846 Teeth R Us Dentist 1908 201 Pl Se Suite #201, Bothell, WA 98012 2014-12-11
Find all providers in zip 98012

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386119709 Crossfunction Sports Massage Massage Therapist 16000 Bothell Everett Hwy Ste 161, Mill Creek, WA 98012-1742 2018-10-12
1881171643 Kathryn Sordahl Massage Therapist 16212 Bothell Everett Hwy Ste E, Mill Creek, WA 98012-1235 2018-07-25
1598250391 Emily Jane Gammell Massage Therapist 16708 Bothell Everett Hwy Ste 202, Mill Creek, WA 98012-6345 2018-06-25
1568954683 Beverly Nicole Prater Massage Therapist 1231 Mill Creek Blvd Apt I202, Mill Creek, WA 98012-3086 2018-06-04
1023526597 Tina Lepeska Massage Therapist 13416 Bothell Everett Hwy Ste 201, Mill Creek, WA 98012-5311 2018-01-17
1114430535 Emily Boyd Massage Therapist 15418 Main St Unit M106, Mill Creek, WA 98012-9021 2017-11-07
1316476112 Crossfunction Sports Massage, Pllc Massage Therapist 16000 Bothell Everett Hwy Unit 161, Mill Creek, WA 98012-1742 2017-06-06
1720519978 Elva Elizabeth Cosgrave Massage Therapist 1212 144th Pl Se, Mill Creek, WA 98012-1384 2017-03-21
1326581885 Megen Smith Massage Therapist 15021 Main St Ste K, Mill Creek, WA 98012-1651 2016-11-30
1093257651 Yekatrina Solop Massage Therapist 15418 Main St Unit 106, Mill Creek, WA 98012-9040 2016-11-14
Find all providers in MILL CREEK

Competitor

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City MILL CREEK
Zip Code 98012

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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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