MARK D RUTHERFORD (NPI# 1700377892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700377892 |
| Entity Type | Individual |
| Full Name | MARK D RUTHERFORD |
| Credential | DC |
| Practice Address |
11122 Gravelly Lake Dr Sw Lakewood WA 98499-1348 |
| Mailing Address |
3901 6th Ave Tacoma WA 98406-4940 |
| Practice Telephone | 2533558156 |
| Practice Fax Number | 2069237601 |
| Mailing Telephone | 2537567500 |
| Mailing Fax Number | 2537567501 |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2019-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH00002419 | WA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NPI | 1922455161 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15245 Intl Blvd Ste 210, Seatac, WA 981882233 | 2069237600 | 2069237601 |
| 2326 Rainier Ave S Ste B, Seattle, WA 981445349 | 2063293040 | 2063293041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548550270 | Mark D Rutherford | Social Worker | 1900 S Olive Ave, West Palm Beach, FL 33401-7726 | 2011-04-14 |
| 1972693786 | Mark A Rutherford | Family Medicine | 130 E Boise Ave, Boise, ID 83706 | 2006-10-13 |
| Street Address |
11122 GRAVELLY LAKE DR SW |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-1348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083731970 | Rebecca Reed | Massage Therapist | 11122 Gravelly Lake Dr Sw, Lakewood, WA 98499-1348 | 2007-03-23 |
| 1902181522 | Brandi Patane | Massage Therapist | 11122 Gravelly Lake Dr Sw, Lakewood, WA 98499-1348 | 2011-10-14 |
| 1487897732 | Megan Carsner | Massage Therapist | 11122 Gravelly Lake Dr Sw, Lakewood, WA 98499-1348 | 2009-04-16 |
| 1679752125 | Leah Cueva | Massage Therapist | 11122 Gravelly Lake Dr Sw, Lakewood, WA 98499-1348 | 2007-11-01 |
| 1043337017 | Susan D. Morney | Massage Therapist | 11122 Gravelly Lake Dr Sw, Lakewood, WA 98499-1348 | 2007-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860836 | Kirton Chiropractic LLC | Chiropractor | 6841 W Asbury Pl, Lakewood, CO 80227-2690 | 2020-10-27 |
| 1205453396 | Brittni Ann Reid | Chiropractor | 1360 S. Wadsworth Blvd, Suite #104, Lakewood, CO 80232 | 2020-07-06 |
| 1881214617 | Back 2 Life Chiropractic | Chiropractor | 8409 Spruce St Sw, Lakewood, WA 98498-2343 | 2020-04-22 |
| 1922646967 | Palmercare Chiropractic Lakewood, Inc. | Chiropractor | 12051 W Alameda Pkwy # D4, Lakewood, CO 80228-2701 | 2019-12-19 |
| 1568009470 | Allison June Workman Thompson | Chiropractor | 1394 Cranford Ave, Lakewood, OH 44107-2310 | 2019-12-10 |
| 1124586284 | Alan Palzer | Chiropractor | 4518 Josie Ave, Lakewood, CA 90713-2716 | 2019-03-07 |
| 1518423177 | Aligned Health Chiropractic LLC | Chiropractor | 305 S Kipling St # C2, Lakewood, CO 80226-2700 | 2019-02-19 |
| 1073078580 | Lauren M Sullivan | Chiropractor | 305 S Kipling St Ste C2, Lakewood, CO 80226-2700 | 2019-02-08 |
| 1316439847 | P.r.i.s.m. Institute Inc. | Chiropractor | 5233 Premiere Ave, Lakewood, CA 90712 | 2018-05-31 |
| 1730677485 | Inspired Chiropractic & Wellness Inc | Chiropractor | 15644 Madison Ave Ste 213, Lakewood, OH 44107-5622 | 2018-04-27 |
| Find all providers in LAKEWOOD | ||||
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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.