KEIRA WIDMER (NPI# 1710008206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710008206 |
| Entity Type | Organization |
| Organization Name | KEIRA WIDMER |
| Other Organization Name | SEED CENTER FOR WELLNESS |
| Practice Address |
5440 S Lakeshore Dr Suite 101 Tempe AZ 85283-2101 |
| Mailing Address |
Po Box 10667 Tempe AZ 85284-0012 |
| Practice Telephone | 4806288089 |
| Mailing Telephone | 4806288089 |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KEIRA WIDMER (OWNER) |
| Authorized Official Telephone | 4806288089 |
| Authorized Official Credential | LMT, CST, RYT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT03104P | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Seed Center for Wellness | Doing Business As Name - Organization |
| Street Address |
5440 S LAKESHORE DR SUITE 101 |
| City | TEMPE |
| State | AZ |
| Zip Code | 85283-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003120536 | Forrest Ann Walsh | Massage Therapist | 5440 S Lakeshore Dr, Suite 101, Tempe, AZ 85283-2101 | 2010-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093373284 | Odilette Trevizo | Registered Nurse | Beautiful You Med Spa, 123 E Baseline Rd Ste D208, Tempe, AZ 85283 | 2019-06-03 |
| 1538631981 | Baseline Dental Care Pllc | Dentist | 1980 E Baseline Road Suite 101, Tempe, AZ 85283 | 2018-12-26 |
| 1912409228 | Laura Lee Jones | Social Worker | 438 W. Seed Farm Road, Sacaton, AZ 85283 | 2018-03-02 |
| 1609226364 | Clean Colonic LLC | Public Health or Welfare | 7560 S. Willow Dr, Tempe, AZ 85283 | 2016-06-14 |
| 1235583212 | Seema Bacon | Counselor | 2111 E Baseline Rd Ste D2, Tempe, AZ 85283 | 2016-04-15 |
| 1326436908 | Dale E King | Social Worker | 1405 E. Guadalupe Road, Tempe, AZ 85283 | 2015-01-05 |
| 1194135871 | Greater Phoenix Psychiatric Associate Pllc | Psychiatry & Neurology | 6530 S Maple Ave, Tempe, AZ 85283 | 2014-05-02 |
| 1639468077 | Muna A Jama | Pharmacist | 6404 S Mcclintock Dr., Tempe, AZ 85283 | 2011-04-06 |
| 1649580945 | Nancy A Syms | Psychologist | 6350 South Maple Avenue, Tempe, AZ 85283 | 2010-10-20 |
| 1629208400 | Bonnie J Rouzaud | Nurse Practitioner | 1920 E Baseline Road, Tempe, AZ 85283 | 2009-07-15 |
| Find all providers in zip 85283 | ||||
| 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 |
|---|---|---|---|---|
| 1841837861 | Arricka Crayton | Massage Therapist | 1845 E Broadway Rd Ste 116, Tempe, AZ 85282-1685 | 2019-12-09 |
| 1235772336 | Elisa Beth Pavlet | Massage Therapist | 1801 S Jentilly Ln Ste C16, Tempe, AZ 85281-5760 | 2019-10-21 |
| 1821583857 | Kara Fullmer Vasquez | Massage Therapist | 8400 S Kyrene Rd Ste 105, Tempe, AZ 85284-2119 | 2018-06-22 |
| 1265926695 | Eric Braha | Massage Therapist | 2101 E Broadway Rd Ste 21, Tempe, AZ 85282-1735 | 2018-06-19 |
| 1740791680 | Jonathan Charles Holz | Massage Therapist | 405 W Southern Ave Ste 2, Tempe, AZ 85282-4552 | 2017-10-18 |
| 1346694007 | Jennifer Vanderstouw | Massage Therapist | 1615 E Warner Rd Ste 3, Tempe, AZ 85284-4500 | 2016-04-19 |
| 1760811400 | Medisage, LLC | Massage Therapist | 5016 S Ash Ave, Suite 105, Tempe, AZ 85282-6845 | 2013-11-04 |
| 1487930434 | Janet Gdovic | Massage Therapist | 1518 E Bishop Dr, Tempe, AZ 85282-2731 | 2011-10-21 |
| 1952610503 | Brandon Kimball | Massage Therapist | 2409 S Rural Rd Ste D, Tempe, AZ 85282-2447 | 2010-09-30 |
| 1265087738 | Brian M Keene | Massage Therapist | 1930 E Southern Ave, Tempe, AZ 85282-7518 | 2019-08-01 |
| Find all providers in TEMPE | ||||
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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.