Oksana Borisovna Kasko, MASSAGE PRACTITIONER

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00017779 Issued in WA

Practice address

1700 132ND Street
Ste L
Mill Creek, WA 98012

Phone

(425) 338-1555

Fax

(425) 338-0765

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Oksana Borisovna Iyerusalimets Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851483499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 132ND STREET",
            "address_2": "STE L",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-338-1555",
            "fax_number": "425-338-0765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 132ND STREET",
            "address_2": "STE L",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-338-1555",
            "fax_number": "425-338-0765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASKO",
        "first_name": "OKSANA",
        "middle_name": "BORISOVNA",
        "name_prefix": "Mrs.",
        "credential": "MASSAGE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00017779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OKSANA",
            "last_name": "IYERUSALIMETS",
            "middle_name": "BORISOVNA",
            "prefix": "MS.",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dara J Kanwischer Schmeck, MS CCC-SLP
• Christopher Kapetanov, ACMHC
• Karla Campbell Ma PLLC
• Sandra Kartess, LMT
• Patricia H. Karthas, P.T.
• Jaskiran Kaur
• Simrit Kaur, DPM
• David A. Kavanagh, DDS
• Isabella Donn Kelly-Escario, LMT
• Clifton Kelly, LMHC

• Massage Therapist in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.