DWIGHT HENDRICKS (NPI# 1710542048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710542048 |
| Entity Type | Individual |
| Full Name | DWIGHT HENDRICKS |
| Credential | LMT |
| Practice Address |
2902 164th Street Sw Suite D1 Lynnwood WA 98087 |
| Mailing Address |
3715 196th St Sw Unit 2488 Lynnwood WA 98036-3219 |
| Practice Telephone | 7206356664 |
| Mailing Telephone | 7206356664 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60926125 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MASSAGE THERAPIST | MA60926125 | 01 |
| Street Address |
2902 164TH STREET SW SUITE D1 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568022341 | Romina Kim | Behavioral Analyst | 14228 26th Ave W, Unit A, Lynnwood, WA 98087 | 2019-06-14 |
| 1134603822 | Pamela C Brown-seely | Counselor | 15914 44th Ave W, M-208, Lynnwood, WA 98087 | 2018-09-19 |
| 1699213678 | Kyra Ripley | Counselor | 13821 Beverly Park Rd, Lynnwood, WA 98087 | 2017-02-09 |
| 1144634411 | Gloria Orias | Contractor | 14421 Ash Way, Lynnwood, WA 98087 | 2014-06-16 |
| 1134548316 | Nguyen & Nguyen Dds, Pllc | Clinic/Center | 15620 Highway 99, Suite 4, Lynnwood, WA 98087 | 2014-04-15 |
| 1659526341 | Hee-jin Yang | Dentist | 1418 164th St Sw Ste 100, Lynnwood, WA 98087 | 2008-11-21 |
| 1972795342 | Linda Marie Bowen | Counselor | 1120 164th St Sw, Lynnwood, WA 98087 | 2007-08-09 |
| 1649475799 | Martha Lake Dental Center | Dentist | 1233 164th St Sw, Ste #h, Lynnwood, WA 98087 | 2007-06-19 |
| 1154532042 | Atlas Chiropractic Clinic, LLC | Chiropractor | 14608 Hwy 99 Suite309, Lynnwood, WA 98087 | 2007-05-24 |
| 1043361900 | Brandon Trent Broady | Specialist | 3501 Shelby Rd. Suite C, Lynnwood, WA 98087 | 2007-01-16 |
| Find all providers in zip 98087 | ||||
| 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 |
|---|---|---|---|---|
| 1205441441 | Yin May Siu | Massage Therapist | 17812 19th Ave W, Lynnwood, WA 98037 | 2020-09-14 |
| 1770101164 | Younhee Ko | Massage Therapist | 4210 198th St Sw Ste 206, Lynnwood, WA 98036-6737 | 2020-07-11 |
| 1598223463 | Kalie R Mcginnis | Massage Therapist | 4725 176th St Sw Apt H8, Lynnwood, WA 98037-4813 | 2019-03-08 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1083191290 | Xiufen Lu | Massage Therapist | 18421 Highway 99 Ste G, Lynnwood, WA 98037-4457 | 2018-07-20 |
| 1306345350 | Jeannie Omara | Massage Therapist | 18927 33rd Ave W Ste B, Lynnwood, WA 98036-4726 | 2018-02-06 |
| 1538684550 | Viktoriya Pattison | Massage Therapist | 15302 40th Ave W Apt 1-201, Lynnwood, WA 98087-8972 | 2017-08-10 |
| 1770006348 | Sarah Anne Longanecker | Massage Therapist | 1132 164th St Sw Ste A, Lynnwood, WA 98087-8167 | 2017-07-25 |
| 1699200642 | Lynnwood Family Chiropractic | Massage Therapist | 16303 Highway 99 Ste 1b, Lynnwood, WA 98087-1453 | 2017-04-27 |
| 1437681780 | Allison Sjoberg | Massage Therapist | 2208 177th Pl Sw, Lynnwood, WA 98037-7902 | 2017-03-28 |
| Find all providers in LYNNWOOD | ||||
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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.