LIETA KATHLEEN TAYSOM (NPI# 1912319203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912319203 |
| Entity Type | Individual |
| Full Name | LIETA KATHLEEN TAYSOM |
| Credential | LMT |
| Practice Address |
1775 Washburn Way Suite A. Klamath Falls OR 97603-4304 |
| Mailing Address |
Po Box 8051 Yakima WA 98908-0051 |
| Practice Telephone | 5418872507 |
| Practice Fax Number | 5418872508 |
| Mailing Telephone | 5094691903 |
| Mailing Fax Number | 5094691903 |
| Enumeration Date | 2014-05-21 |
| Last Update Date | 2014-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 20367 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1775 WASHBURN WAY SUITE A. |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97603-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982014999 | Body Pro Clinic, Inc. | Physical Therapist | 1775 Washburn Way, Suite A, Klamath Falls, OR 97603-4304 | 2014-04-29 |
| 1124473798 | Stillwater Spa & Wellness Center | Specialist | 1775 Washburn Way, Suite A, Klamath Falls, OR 97603-4304 | 2016-05-02 |
| 1588019574 | Michaeleen Gonzalez | Point of Service | 1775 Washburn Way, Suite A, Klamath Falls, OR 97603-4304 | 2016-04-27 |
| 1639579444 | Elena Peters | Massage Therapist | 1775 Washburn Way, Klamath Falls, OR 97603-4304 | 2014-08-28 |
| 1538579479 | Sarah Beth Matchett | Massage Therapist | 1775 Washburn Way, Suite A, Klamath Falls, OR 97603-4304 | 2014-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790323699 | Mike Hampson | Counselor | 3203 Vandenberg Road, Klamath Falls, OR 97603 | 2019-12-11 |
| 1356858369 | Scott Richardson | Community Based Residential Treatment Facility, Mental Illness | 3934 Rio Vista Way, Klamath Falls, OR 97603 | 2017-12-29 |
| 1720518392 | Maile Kalus | Counselor | 3647 Or-39, Klamath Falls, OR 97603 | 2017-06-15 |
| 1174067201 | Amber Wu | Audiologist | 4036 S 6th St Ste 3, Klamath Falls, OR 97603 | 2016-12-08 |
| 1568870681 | Nathan William Bailey | Dentist | 2301 Mountain View Blvd, Suite D, Klamath Falls, OR 97603 | 2014-08-01 |
| 1376987784 | Janice Marie Heiney | Denturist | 2607 Crosby Ave, Klamath Falls, OR 97603 | 2013-04-29 |
| 1083958011 | John W Cooper | Denturist | 3949 Shasta Way, Klamath Falls, OR 97603 | 2012-11-15 |
| 1205137742 | Robert Knight | Community Health Worker | 3314 Vandenburg Rd., Klamath Falls, OR 97603 | 2010-11-16 |
| 1841526431 | Tim R Jones | Counselor | 3949 South 6th St, Klamath Falls, OR 97603 | 2009-11-02 |
| 1316135833 | Ernest Thompson O'neal | Emergency Medicine | 211 Arnold Ave. Ste 15, Klamath Falls, OR 97603 | 2007-10-10 |
| Find all providers in zip 97603 | ||||
| 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 |
|---|---|---|---|---|
| 1811505506 | Chesley Lorraine Tillberg | Massage Therapist | 1225 Hilton Dr, Klamath Falls, OR 97603-5254 | 2020-07-19 |
| 1922562891 | Devon L Reyes | Massage Therapist | 3815 S 6th St Ste 160, Klamath Falls, OR 97603-4075 | 2019-01-25 |
| 1821561796 | Sarah Marie Baker | Massage Therapist | 4509 S 6th St Ste 305, Klamath Falls, OR 97603-4883 | 2019-01-03 |
| 1982181285 | Victoria Watkins | Massage Therapist | 4036 S 6th St, Klamath Falls, OR 97603-4750 | 2018-07-19 |
| 1669884136 | Natural Escape LLC | Massage Therapist | 1235 Hilton Dr, Klamath Falls, OR 97603-5254 | 2014-06-02 |
| 1437421237 | Andrew Baldwin | Massage Therapist | 2411 Holabird Ave, Klamath Falls, OR 97601-1713 | 2012-02-08 |
| 1437426202 | Theresa A Ostrom | Massage Therapist | 11280 Hwy 66, Klamath Falls, OR 97601-9080 | 2011-11-22 |
| 1972754653 | Carol Ann Davis I | Massage Therapist | 11611 Ramirez Rd, Klamath Falls, OR 97603-8963 | 2008-10-01 |
| 1609338037 | Amanda Harris | Massage Therapist | 1435 E Main St, Klamath Falls, OR 97601-3407 | 2019-04-04 |
| 1235615782 | Kyla Shay Daniels | Massage Therapist | 1435 E Main St, Klamath Falls, OR 97601-3407 | 2018-07-18 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97603 |
Please comment or provide details below to improve the information on LIETA KATHLEEN TAYSOM.
| 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.