SKY VALLEY WELLNESS, LLC (NPI# 1780175885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780175885 |
| Entity Type | Organization |
| Organization Name | SKY VALLEY WELLNESS, LLC |
| Other Organization Name | SKY VALLEY WELLNESS |
| Practice Address |
14751 N Kelsey St Ste 110 Monroe WA 98272-1457 |
| Mailing Address |
13708 97th Ave Ne Kirkland WA 98034-1874 |
| Practice Telephone | 5032690625 |
| Mailing Telephone | 5032690625 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Authorized Official Name | PATRICIA D GLENN (MEMBER) |
| Authorized Official Telephone | 5032690625 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00009884 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Sky Valley Wellness | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SKY VALLEY WELLNESS, LLC | 603 W Main St, Monroe, WA 98272-2101 |
| Street Address |
14751 N KELSEY ST STE 110 |
| City | MONROE |
| State | WA |
| Zip Code | 98272-1457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013485317 | Genesis P Ramirez | Massage Therapist | 14751 N Kelsey St Ste 110, Monroe, WA 98272 | 2018-11-05 |
| 1437636032 | Whole Health Integration, LLC | Massage Therapist | 14751 N Kelsey St Ste 110, Monroe, WA 98272-1457 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710346135 | Kiran Agarwal | Internal Medicine | 17707 W Main St Fl 1, Monroe, WA 98272 | 2016-02-12 |
| 1982073136 | Rochelle Conway Toulouse | Behavioral Analyst | 642 North Street, Monroe, WA 98272 | 2015-09-17 |
| 1740658467 | Casey Jane Bahr | Social Worker | Casey Bahr, C.o. Tru- Sotap, 16550 177th Ave Se, Monroe, WA 98272 | 2015-09-11 |
| 1811395049 | Gianna M Rosewood | Massage Therapist | 101 East Main Street Set 201, Monroe, WA 98272 | 2014-12-22 |
| 1528478609 | Puget Sound Kidney Centers | Clinic/Center | 18121 149th Street Se, Monroe, WA 98272 | 2014-04-29 |
| 1215356878 | Sabiha K Barot | Emergency Medicine | Evergreenhealth Monroe, 14701 179th Ave. Se, Monroe, WA 98272 | 2014-04-10 |
| 1346677986 | Irina Emily Goldstein | Pharmacist | 179th Ave Se, Monroe, WA 98272 | 2013-09-27 |
| 1740612449 | Erik Michael Erxleben | Massage Therapist | 211 West Hill St., Monroe, WA 98272 | 2013-08-05 |
| 1780023796 | Jamie Marlo Selbe | Counselor | 16560 167th St Se, Monroe, WA 98272 | 2013-06-24 |
| 1942644620 | Robin Fenn | Counselor | 14841 179th Ave Se, St 230, Neary Naturopathic Clinic, Monroe, WA 98272 | 2013-04-24 |
| Find all providers in zip 98272 | ||||
| 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 |
|---|---|---|---|---|
| 1376141994 | Jonathan D Thompson | Massage Therapist | 215 N Hayne St, Monroe, NC 28112-4856 | 2020-10-15 |
| 1811558505 | Allison R Rykse | Massage Therapist | 1358 Hollywood Dr, Monroe, MI 48162-3024 | 2019-06-24 |
| 1336604792 | Christopher Ehrman | Massage Therapist | 808 N 31st St Ste D, Monroe, LA 71201-3942 | 2019-02-09 |
| 1114482080 | Nicole Cutting Louie | Massage Therapist | 24990 Orchard Tract Rd, Monroe, OR 97456-8413 | 2019-02-05 |
| 1558830448 | Lilith Macgregor Deveigh Krueger | Massage Therapist | 118 N Lewis St Ste 111, Monroe, WA 98272-1516 | 2018-11-20 |
| 1700397452 | Meagen Michelle Mckelvey | Massage Therapist | 1129 W Main St Ste 172, Monroe, WA 98272-2034 | 2017-10-21 |
| 1033637749 | Margaret Griffin | Massage Therapist | 16405 234th St Se, Monroe, WA 98272-9827 | 2017-09-01 |
| 1437685740 | Holly Cramner | Massage Therapist | 111 E 1st St Ste 500, Monroe, MI 48161-2265 | 2017-05-05 |
| 1558806109 | Michelle Stupay | Massage Therapist | 261 E Fremont St, Monroe, WA 98272-2335 | 2017-01-05 |
| 1871035402 | Carla Hammac | Massage Therapist | 5325 Raven Pkwy, Monroe, MI 48161-3716 | 2016-11-14 |
| Find all providers in MONROE | ||||
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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.