MELISSA ANN MCCOLLOUGH (NPI# 1912104498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912104498 |
| Entity Type | Individual |
| Full Name | MELISSA ANN MCCOLLOUGH |
| Credential | LMP |
| Practice Address |
20 East J Street Suite B Deer Park WA 99006 |
| Mailing Address |
Po Box 821 Loon Lake WA 99148-0821 |
| Practice Telephone | 5092768809 |
| Mailing Telephone | 5099988582 |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00024298 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
20 EAST J STREET SUITE B |
| City | DEER PARK |
| State | WA |
| Zip Code | 99006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417572892 | Deer Park Dental Pllc | Dentist | 118 E. Crawford St., Deer Park, WA 99006 | 2020-06-11 |
| 1124653464 | James Phelan | Optometrist | 14 N. Vernon Ave., Deer Park, WA 99006 | 2020-03-06 |
| 1336628841 | Shayla Michelle Simonson | Massage Therapist | West 114 South Avenue, Apt 4, Deer Park, WA 99006 | 2018-08-07 |
| 1710221494 | Lori Tetsuro Mcdonald | Hearing Instrument Specialist | 23 E Crawford St, Suite D, Deer Park, WA 99006 | 2012-11-19 |
| 1952675076 | Debra Kay Keller | Pharmacist | 412 S Main, Deer Park, WA 99006 | 2012-03-07 |
| 1457661027 | Martha Joan Haney | Massage Therapist | W 110 Crawford, Suite J, Deer Park, WA 99006 | 2010-10-18 |
| 1487818324 | Bi-mart Corporation | Durable Medical Equipment & Medical Supplies | 412 S. Main Avenue, Deer Park, WA 99006 | 2008-07-10 |
| 1336368182 | Community Health Association of Spokane | Clinic/Center | 401 S Main Street, Deer Park, WA 99006 | 2007-04-24 |
| 1215153739 | Bates and Miller, Pllc, Dds | Clinic/Center | 20 E J Street, Suite 2b, Deer Park, WA 99006 | 2007-04-17 |
| 1184741936 | Ronald J Moore | Chiropractor | 206 W First Street, Suite G, Deer Park, WA 99006 | 2007-03-26 |
| Find all providers in zip 99006 | ||||
| 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 |
|---|---|---|---|---|
| 1639797392 | Maribel Mora | Massage Therapist | 2011 Deer Park Ave, Deer Park, NY 11729-2733 | 2020-07-09 |
| 1396370250 | Jennifer L Mclaughlin | Massage Therapist | 4717 W Cross Cut Rd, Deer Park, WA 99006-9789 | 2020-03-10 |
| 1720637267 | Brandi Gore | Massage Therapist | 2612 W Denison Rd, Deer Park, WA 99006-9382 | 2019-09-07 |
| 1437707536 | Cody B Devore | Massage Therapist | 3210 W Oregon Rd, Deer Park, WA 99006-9622 | 2019-09-01 |
| 1740760198 | Brooke Abrianna Kathleen Hathaway | Massage Therapist | 706 E C St, Deer Park, WA 99006-6055 | 2018-08-15 |
| 1336628841 | Shayla Michelle Simonson | Massage Therapist | West 114 South Avenue, Apt 4, Deer Park, WA 99006 | 2018-08-07 |
| 1235656851 | Young Mi Lim | Massage Therapist | 2318 Center St Ste 105, Deer Park, TX 77536-4113 | 2017-08-24 |
| 1790140267 | Sarah Lynn Puthoff | Massage Therapist | 30717 N Perry Rd, Deer Park, WA 99006-8361 | 2015-12-28 |
| 1528439817 | Rachel Dewald | Massage Therapist | 42112 N Spring Water Ln, Deer Park, WA 99006-5126 | 2015-10-12 |
| 1679823488 | Denise Joy Korman | Massage Therapist | 63 Baldwin Path, Deer Park, NY 11729-1403 | 2012-09-19 |
| Find all providers in DEER PARK | ||||
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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.