MR. SUNRISE MOONSHADOW COULTER


Address: 542 N 5th Ave, Sequim, WA 98382-3079
Phone: 3606837911

MR. SUNRISE MOONSHADOW COULTER (NPI# 1811323801) 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) 1811323801
Entity Type Individual
Full Name MR. SUNRISE MOONSHADOW COULTER
Credential LMT, LMP
Practice Address 542 N 5th Ave
Sequim
WA 98382-3079
Mailing Address Po Box 853
Port Townsend
WA 98368-0853
Practice Telephone 3606837911
Mailing Telephone 5413060565
Enumeration Date 2013-09-23
Last Update Date 2013-09-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA60408973 WA Respiratory, Developmental, Rehabilitative and Restorative Service Providers
N 225700000X Massage Therapist 18466 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 542 N 5TH AVE
City SEQUIM
State WA
Zip Code 98382-3079

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366624835 Sorensen Chiropractic LLC Chiropractor 542 N 5th Ave, Sequim, WA 98382-3079 2007-11-27
1760809024 Jenifer Williams Massage Therapist 542 N 5th Ave, Sequim, WA 98382-3079 2014-03-25
1033490982 Melanie Doster Massage Therapist 542 N 5th Ave, Sequim, WA 98382-3079 2011-09-06
1336435346 Angela M White Massage Therapist 542 N 5th Ave, Sequim, WA 98382-3079 2011-06-28
1275855884 Morgan Lacey Nolan Massage Therapist 542 N 5th Ave, Sequim, WA 98382-3079 2010-02-23
1881923001 Brooke Allison Gauthier Massage Therapist 542 N 5th Ave, Sequim, WA 98382-3079 2009-12-17
1972839249 Joy C Tormala Massage Therapist 542 N 5th Ave, Sequim, WA 98382-3079 2009-10-21
1659532786 Maggie J Petersen Massage Therapist 542 N 5th Ave, Sequim, WA 98382-3079 2008-06-20
1619138757 Michelle L Simmons-wolfgang Massage Therapist 542 N 5th Ave, Sequim, WA 98382-3079 2008-06-20
1952562076 Jennifer Faye Mills Massage Therapist 542 N 5th Ave, Sequim, WA 98382-3079 2008-06-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760032841 Dale I King Technician 512 Lostwood Lane, Sequim, WA 98382 2019-09-19
1831661164 Katheryn Murray Community Health Worker 80 Spencer Rd Spc 10, Sequim, WA 98382 2018-12-27
1306314349 Tera Joyce Phillips Counselor 112 S Solmar Dr, Sequim, WA 98382 2018-11-07
1275025595 Peninsula Counseling Social Worker 435 West Bell St Suite D, Sequim, WA 98382 2018-06-01
1437661816 Kathryn Elizabeth Sanford Registered Nurse 720 Carlsborg Rd, Sequim, WA 98382 2017-10-25
1407271935 Hoa Lien Trinh Denturist 124 W. Spruce St., Sequim, WA 98382 2014-02-20
1306267323 Pamela Hursey-king Occupational Therapist 600 West Hemlock St, Sequim, WA 98382 2013-12-17
1821419060 Cortney Woodford Speech-Language Pathologist 600 West Hemlock Street, Sequim, WA 98382 2013-12-13
1851638043 Sonja Ann Bittner Registered Nurse 503 North Sequim Ave, Sequim, WA 98382 2013-01-09
1063796175 Peak Performance Therapy LLC Occupational Therapist 519 Eureka Way, Suite 2, Sequim, WA 98382 2011-10-07
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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
1861009284 Sarah May Pickett Massage Therapist 90 S Rhodefer Rd Apt A304, Sequim, WA 98382-4519 2020-09-29
1881208312 Adriana Hashem Massage Therapist 1758 Old Gardiner Rd, Sequim, WA 98382-8747 2020-09-02
1528578796 Northwest Fitness LLC Massage Therapist 755 W Washington St, Sequim, WA 98382-3272 2017-10-02
1962876409 Northwest Massage and Holistic Healing Center Massage Therapist 145 E Washington St, Sequim, WA 98382-4107 2015-11-20
1669884656 Leslie Marie Delre Massage Therapist 53 Osprey Glen Rd, Sequim, WA 98382-9753 2014-05-23
1316358799 Ashley Brown Massage Therapist 51 E Diane Dr, Sequim, WA 98382-9105 2014-05-19
1457762924 Danielle Mills Massage Therapist 378 W Maple St, Sequim, WA 98382-3777 2014-05-18
1558643692 Tonya N Parlee Massage Therapist 581 Keeler Rd, Sequim, WA 98382-8403 2011-09-14
1235417635 Barbara Jean Gilger Massage Therapist 2261 Old Gardiner Rd, #24, Sequim, WA 98382-8718 2011-08-02
1508157249 Karl T Hatton Massage Therapist 672 River Rd, Sequim, WA 98382-7761 2011-04-28
Find all providers in SEQUIM

Competitor

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City SEQUIM
Zip Code 98382

Improve Information

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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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