SANDRA OETTLE


Address: 4520 Southcenter Blvd, I 112, Tukwila, WA 98188-7908
Phone: 4256478656

SANDRA OETTLE (NPI# 1790024784) 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) 1790024784
Entity Type Individual
Full Name SANDRA OETTLE
Credential LMP
Practice Address 4520 Southcenter Blvd
I 112
Tukwila
WA 98188-7908
Practice Telephone 4256478656
Mailing Telephone 4256478656
Enumeration Date 2013-02-11
Last Update Date 2013-02-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA60332291 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 4520 SOUTHCENTER BLVD
I 112
City TUKWILA
State WA
Zip Code 98188-7908

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194342774 Yemisirach Fikru Tufa Registered Nurse 3039 S 154th St, Aptb304, Seatac, WA 98188 2020-06-30
1841756608 Silvia Ruby Campos Behavior Technician 651 Stander Blvd., Suite 112, Tukwila, WA 98188 2019-02-18
1720562036 Alissa Hayes Counselor 631 Strander Bvd. Ste A., Tukwila, WA 98188 2018-09-21
1457859035 Bashayer S Albadr Student in an Organized Health Care Education/Training Program 6100 South Center Blvd. 3rd Floor, Tukwila, WA 98188 2018-01-29
1356855522 Miguel Angel Banos Massage Therapist 3000 Ne 4th St., Renton, WA 98188 2017-11-27
1801312061 Emma Sinclair Jennings Counselor 651 Strander Blvd. Suite 105, Tukwila, WA 98188 2017-08-19
1518417526 Jamila Fyrouz Iraqui Counselor 15142 65th Ave S, Apt. 312, Tukwila, WASHINGTON 98188 2016-10-13
1487026076 Catholic Community Services of Western Washington Clinic/Center 631 Strander Blvd Ste A, Tukwila, WA 98188 2015-10-22
1659773174 Thanh Thi-hong Nguyen Physician Assistant 3739 S 191st Pl, Seatac, WA 98188 2014-09-16
1053725101 Affinity Home Care Services Inc In Home Supportive Care 601 Strander Blvd, Tukwila, WA 98188 2014-06-17
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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
1962924233 Shamaure Green Massage Therapist 7100 Fun Center Way Ste 120, Tukwila, WA 98188-5540 2017-07-08
1255705968 Rachel Gumkowski Massage Therapist 14121 Tukwila Intl Blvd, Tukwila, WA 98168 2015-11-18
1841615713 Silbee Sanchez Massage Therapist 13028 Interurban Ave. S, Suite 106, Tukwila, WA 98168 2014-02-28
1942566013 Christopher Lee Nimmo Massage Therapist 15254 Sunwood Blvd, E-22, Tukwila, WA 98188-7853 2012-04-03
1588931679 Maybelyn Sales Macadangdang Massage Therapist 2800 Southcenter Mall, #a20, Tukwila, WA 98188-2876 2011-11-17
1245513738 Nicole M Ewart Massage Therapist 6420 S 153rd St, Tukwila, WA 98188-2541 2011-09-21
1225348329 Sherra Breanne Kurtz Massage Therapist 13028 Interurban Ave S Ste 106, Tukwila, WA 98168-3340 2010-10-07
1275771156 Jamila Lenea Johnson Massage Therapist 351 Strander Blvd Ste 8, Tukwila, WA 98188-2916 2009-01-30
1356591291 Boualoys Massage LLC Massage Therapist 689 Strander Blvd, Building C, Tukwila, WA 98188 2008-09-29
1205039153 Boualoy Manivanh Abando Massage Therapist 689 Strander Blvd Bldg C, Tukwila, WA 98188-2922 2007-06-07
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Competitor

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City TUKWILA
Zip Code 98188

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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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