Aimee Alberta Gendreau, LMP

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA00019367 Issued in WA

Practice address

22312 Marine View Dr S
Des Moines, WA 98198-6832

Phone

(206) 824-8464

NPI assigned

Apr 24, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bodle Chiropractic, Inc

  • Chiropractor
  • Des Moines, WA
  • NPI 1043484843
  NPD (past)
• Bodle Chiropractic, Inc

  • Chiropractor
  • Des Moines, WA
  • NPI 1487426110
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992924377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 38TH AVE S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981684021",
            "telephone_number": "206-257-9176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22312 MARINE VIEW DR S",
            "city": "DES MOINES",
            "state": "WA",
            "postal_code": "981986832",
            "telephone_number": "206-824-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDREAU",
        "first_name": "AIMEE",
        "middle_name": "ALBERTA",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "MA00019367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jingyi Gao
• Kalynn Garrett, RN
• Jayne Taylor Gaubatz, M.D.
• Kiara Cymone Gault
• Janelle A Gauthier
• Hannah Elizabeth Getty, LMP
• Lisa M Gillette, ARNP
• Paul Gilliland, DPT
• Megan Gillman, LICSW, MSW, MS
• Laura Golden

• Mechanotherapist in Des Moines, WA
• Providers in Des Moines, WA by specialty
• Mechanotherapist 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.