MR. DERRIC K MATTESON (NPI# 1881919082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881919082 |
| Entity Type | Individual |
| Full Name | MR. DERRIC K MATTESON |
| Credential | LMP |
| Practice Address |
8432 6th Ave Apt 4 Tacoma WA 98465-1056 |
| Practice Telephone | 2535798664 |
| Mailing Telephone | 2535798664 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | MA60101907 | WA | Other Service Providers |
| Street Address |
8432 6TH AVE APT 4 |
| City | TACOMA |
| State | WA |
| Zip Code | 98465-1056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013378025 | Shauna Lea Irish | Occupational Therapist | 8446 S. 17th Street, Tacoma, WA 98465 | 2016-03-18 |
| 1538533567 | Katherine Elizabeth Fakih | Massage Therapist | 1002 S. Pearl St., Tacoma, WA 98465 | 2015-11-13 |
| 1992932669 | Sandra Christian | Registered Nurse | 1201 S. Proctor, Comprehensive Mental Health/pearl Street Center, Tacoma, WA 98465 | 2009-06-19 |
| 1629202627 | Priyan Perera | Internal Medicine | 815 S Vassault St, Tacoma, WA 98465 | 2009-05-06 |
| 1306089941 | Kristin A. Hummel-sauerwein | Counselor | Comprehensive Mental Health / Pearl Street Center, 1201 Proctor Street, Tacoma, WA 98465 | 2009-04-13 |
| 1891950630 | Allen Douglas Webb Jr. | Psychiatric Residential Treatment Facility | 815 S Pearl, Pearl Street Center, Tacoma, WA 98465 | 2008-07-22 |
| 1598964470 | Hardtke's House Calls, LLC | Nurse Practitioner | 1540 Ventura Dr, Tacoma, WA 98465 | 2007-07-12 |
| 1013054543 | Advanced Lifeline Services Inc | Respiratory Therapist, Certified | 630 South Pearl, Tacoma, WA 98465 | 2007-02-01 |
| 1508952680 | Mary Ann Woodruff | Pediatrics | 1628 South Mildred, #101, Tacoma, WA 98465 | 2006-10-05 |
| 1427573989 | Mamta Shankar | Pharmacist | 1850 S Mildred St, Tacoma, WA 98465 | 2017-08-06 |
| Find all providers in zip 98465 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467904896 | Carmel Mundell | Mechanotherapist | 8644 S Thompson Ave, Tacoma, WA 98444-4468 | 2016-11-02 |
| 1477985109 | Kenneth C Cooper | Mechanotherapist | 9701 Pacific Ave, Unit 2, Tacoma, WA 98444-6595 | 2013-08-05 |
| 1003255092 | Natalie Hillman | Mechanotherapist | 309 N Tacoma Ave Apt 4, Tacoma, WA 98403-2757 | 2013-06-23 |
| 1558625673 | Ryan J Scott | Mechanotherapist | 10625 Pacific Ave S, Tacoma, WA 98444-6065 | 2012-07-03 |
| 1376853150 | Brandy D. Sabin | Mechanotherapist | 3832 S J St, Tacoma, WA 98418-5038 | 2010-10-14 |
| 1528377918 | Judith Louise Gibson | Mechanotherapist | 5125 Vickery Ave E, Tacoma, WA 98443-2026 | 2010-10-02 |
| 1760799084 | Synthia Marie Sirianni | Mechanotherapist | 2922 S Windom St, Tacoma, WA 98409 | 2010-09-08 |
| 1417269507 | Andrea Chamberlain | Mechanotherapist | 3109 S 62nd St, Tacoma, WA 98409-4135 | 2010-07-06 |
| 1518279744 | Aaron E Kester | Mechanotherapist | 1529 N Prospect St, Tacoma, WA 98406-8107 | 2010-07-02 |
| 1497071120 | Briana Marie Wakefield | Mechanotherapist | 2717 N Winnifred St, Tacoma, WA 98407-2404 | 2010-04-20 |
| Find all providers in TACOMA | ||||
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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.