MS. VANESSA DIANE WALTERS (NPI# 1891262531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891262531 |
| Entity Type | Individual |
| Full Name | MS. VANESSA DIANE WALTERS |
| Credential | LMT |
| Practice Address |
4009 Bridgeport Way W Ste E-7 University Place WA 98466-4326 |
| Mailing Address |
2911 199th Avenue Ct E Lake Tapps WA 98391-9067 |
| Practice Telephone | 2532373331 |
| Mailing Telephone | 2064300020 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60863848 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4009 BRIDGEPORT WAY W STE E-7 |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 98466-4326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
| 1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
| 1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
| 1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
| 1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
| 1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
| 1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
| 1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
| 1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
| 1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
| Find all providers in zip 98466 | ||||
| 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 |
|---|---|---|---|---|
| 1487287223 | University Place Massage, LLC | Massage Therapist | 3318 Bridgeport Way W Ste D2, University Place, WA 98466-4598 | 2020-02-20 |
| 1699312488 | Travis Judd | Massage Therapist | 2708 Locust Ave W, University Place, WA 98466-3409 | 2019-11-29 |
| 1316412604 | Kevin Liddle II | Massage Therapist | 2714 Sunset Dr W, University Place, WA 98466-2735 | 2018-10-12 |
| 1174000905 | Tyra Lynn Hart | Massage Therapist | 5805 60th St W, University Place, WA 98467-2831 | 2018-07-24 |
| 1083139414 | Antonietta Ramirez | Massage Therapist | 3560 Bridgeport Way W Ste 2a, University Place, WA 98466-4446 | 2017-08-07 |
| 1215488838 | Amy Lynn Beyette | Massage Therapist | 3807 78th Avenue Ct W, L301, University Place, WA 98466-3257 | 2016-10-19 |
| 1962951707 | Alexandra Marie Finley-yip | Massage Therapist | 3102 Bridgeport Way W, University Place, WA 98466-4525 | 2016-09-21 |
| 1588050249 | Chrissanda Walker | Massage Therapist | 2811 Bridgeport Way W, Suite 17, University Place, WA 98466-4638 | 2015-04-09 |
| 1144633538 | Jeffrey Aleff Jr. | Massage Therapist | 7418 56th Street Ct W Apt B, University Place, WA 98467-2189 | 2014-06-04 |
| 1922439124 | Elizabeth Clinton | Massage Therapist | 8306 43rd Pl W, University Place, WA 98466-2417 | 2013-12-13 |
| Find all providers in UNIVERSITY PLACE | ||||
| City | UNIVERSITY PLACE |
| Zip Code | 98466 |
Please comment or provide details below to improve the information on MS. VANESSA DIANE WALTERS.
| 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.