SHANON TYSLAND


Address: 4030 Alderwood Mall Blvd, Lynnwood, WA 98036
Phone: 4257760803

SHANON TYSLAND (NPI# 1851398754) 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) 1851398754
Entity Type Individual
Full Name SHANON TYSLAND
Credential RPTL
Practice Address 4030 Alderwood Mall Blvd
Lynnwood
WA 98036
Practice Telephone 4257760803
Practice Fax Number 4257760813
Mailing Telephone 4257760803
Mailing Fax Number 4257760813
Enumeration Date 2005-07-07
Last Update Date 2015-02-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist PT00008170 WA Other Service Providers

Office Location

Street Address 4030 ALDERWOOD MALL BLVD
City LYNNWOOD
State WA
Zip Code 98036

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194205286 Taylor N Autry Physical Therapist 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 2018-08-17
1215417704 Johanna Nicole Dibble Dietitian, Registered 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 2018-08-15
1265918486 Megan Marcella Mcarthur Physical Therapist 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 2018-07-11
1952818502 Crystal Love Franck Dietitian, Registered 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 2018-01-04
1285149120 Kayla Lee Acott Massage Therapist 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 2017-12-13
1720591571 Alicia Dan Yang Dietitian, Registered 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 2017-11-14
1295252344 Stephanie Magnin Physical Therapist 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 2017-08-29
1134661960 Jillian Lindsey Massage Therapist 4030 Alderwood Mall Blvd, Lynnwood, WA 98036-6763 2016-11-10
1336523083 Christina Renee' Stephens Massage Therapist 4030 Alderwood Mall Blvd, Lynnwood, WA 98036 2015-07-13
1679984223 Laura Mickelson Physical Therapist 4030 Alderwood Mall Blvd, Lynnwood, WA 98036 2014-05-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396342630 Zachary Perry Behavior Technician 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 2020-10-08
1942832795 Alexis Michelle Solomon-winne Behavior Technician 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 2020-02-10
1881239028 Endc Pllc Psychologist 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 2019-11-12
1225507866 Kyung Suk Seo Massage Therapist 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 2018-11-13
1790270197 Kabal Sriviboon Behavior Technician 20818 44th Ave W Suite 270, Lynnwood, WA 98036 2018-06-27
1992206148 Kendal Ilyse Borison Behavioral Analyst 4100 194th Se, Suite 100, Lynnwood, WA 98036 2018-02-23
1205352515 Doug Brant Registered Nurse 19931 Cypress Way, Lynnwood, WA 98036 2017-08-17
1588184980 Evergreen Recovery Centers-lynnwood Detox Substance Abuse Rehabilitation Facility 20508 56th Ave W, Lynnwood, WA 98036 2017-06-27
1699213439 Patrick J. Pacyga Dentist 19620 Wa-99, Suite 106, Lynnwood, WA 98036 2017-02-01
1134676646 Fiona Green Occupational Therapy Assistant 21503 8th Place W, A, Lynnwood, WA 98036 2016-09-01
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528401593 Sisay S Jorga Specialist 16418 7th Pl W Ste B, Lynnwood, WA 98037-8100 2013-04-09
1356684195 Tonya Nichole Despain Specialist 16303 Highway 99 Ste 2b, Lynnwood, WA 98087-1453 2013-03-30
1700139516 Ashley Marie Nicklin Specialist 19505 44th Ave W, Suite A, Lynnwood, WA 98036-5658 2012-10-17
1740555176 Alexandrea Dawn Yarbrough Specialist 19720 68th Ave W Ste B, Lynnwood, WA 98036-4568 2012-03-19
1144518978 Krysta Lee Shove Specialist 16303 Hwy 99, Suite 2b, Lynnwood, WA 98087-1453 2011-07-13
1083917082 Aci Health & Wellness Center Specialist 18205 Alderwood Mall Pkwy, Unit K, Lynnwood, WA 98037-3913 2010-12-13
1528394061 Sarah R Pike Specialist 5710 200th St Sw Apt 105, Lynnwood, WA 98036-6254 2009-10-18
1386883395 Northwest Return 2 Work, LLC Specialist 19231 36th Ave W, Suite K, Lynnwood, WA 98036-5763 2009-02-13
1497902738 Kimberly Laine Roehl Specialist 16626 6th Ave W, G304, Lynnwood, WA 98037-8834 2008-08-19
1235300393 Ashley Nicole Hilger Brothers Specialist 7127 196th St Sw Ste 101, Lynnwood, WA 98036-5078 2008-03-17
Find all providers in LYNNWOOD

Competitor

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City LYNNWOOD
Zip Code 98036

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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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