TAE HOON KIM (NPI# 1962982306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962982306 |
| Entity Type | Individual |
| Full Name | TAE HOON KIM |
| Practice Address |
2803 Grand Ave Everett WA 98201-3417 |
| Mailing Address |
5830 119th St Se Snohomish WA 98296-6967 |
| Practice Telephone | 4253438316 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60841588 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2803 GRAND AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-3417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306356977 | Nataliya I Kerpan | Massage Therapist | 2803 Grand Ave, Everett, WA 98201-3417 | 2017-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| 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 |
|---|---|---|---|---|
| 1679170054 | Jamie Rose Stolp | Massage Therapist | 4626 Fowler Ave, Everett, WA 98203-2719 | 2020-10-08 |
| 1477197580 | Michael L Cook | Massage Therapist | 13616 56th Ave Se, Everett, WA 98208-9480 | 2019-10-31 |
| 1184287997 | Yanmei Holland | Massage Therapist | 927 128th St Sw Ste B, Everett, WA 98204-6315 | 2019-04-17 |
| 1477033397 | Aimee Elizabeth Huff | Massage Therapist | 10315 19th Ave Se Ste 106, Everett, WA 98208-4268 | 2018-08-20 |
| 1487131033 | Jazmin Adai Leader | Massage Therapist | 2720 Fulton St Unit A, Everett, WA 98201-3731 | 2018-07-26 |
| 1265944045 | Rachel Pemble-fahner | Massage Therapist | 205 E Casino Rd Ste B7, Everett, WA 98208-2600 | 2017-11-01 |
| 1659883817 | Lorena Alehly Kaiser | Massage Therapist | 2804 Grand Ave Ste 307a, Everett, WA 98201-3586 | 2017-10-27 |
| 1306356977 | Nataliya I Kerpan | Massage Therapist | 2803 Grand Ave, Everett, WA 98201-3417 | 2017-10-09 |
| 1013430693 | Cassidy Doohan | Massage Therapist | 15104 52nd Ave Se, Everett, WA 98208-8936 | 2017-07-25 |
| 1326578311 | Samantha Lee Giguere | Massage Therapist | 459 Broadway Ste 204, Everett, MA 02149-3614 | 2017-06-13 |
| Find all providers in EVERETT | ||||
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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.