Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1770621245 Individual Practitioner Male Practitioner

Kenneth D Saucke , LMP

Contractor • Olympia, WA

Professional Overview & Biography Verified Profile Summary

Kenneth Saucke, LMP is a registered healthcare professional specializing in Contractor in Olympia, WA. Practice services are available at 3333 HARRISON AVE NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3333 Harrison Ave Nw
Suite 102

Olympia, WA 985025049

Telephone 3602927245
Fax 3602927247
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Olympia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
9 Specialists

Practicing in Olympia, WA (234 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

State License WA MA00017335

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Massage Practicioner
MA00017335 (WA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Jonathan Jove , MPT

Physical Therapist

NPI 1023153392

Master of Physical Therapy

Kalynn Price , LMP

Massage Therapist

NPI 1144521345

Licensed Massage Practitioner

Dr. Nadia Renner , DPT

Physical Therapist

NPI 1174040240

Doctor of Physical Therapy

Jeremiah Shelton , PT

Physical Therapist

NPI 1235273426

Physical Therapist

Unja Hempowicz , LPTA

Physical Therapy Assistant

NPI 1558727180

Licensed Physical Therapist Assistant

Molly Robertson , LMP

Massage Therapist

NPI 1558750547

Licensed Massage Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 11, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 11, 2008

Registered at 3333 HARRISON AVE NW, SUITE 102, OLYMPIA, WA 985025049 (Tel: 3602927245)

📍
Updated Business Mailing Address January 11, 2008

Registered at PO BOX 11009, OLYMPIA, WA 985081009 (Tel: 3603522037)

👤
Provider Name / Credentials Updated January 11, 2008

Recorded as KENNETH SAUCKE, LMP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2008

Contractor (License #MA00017335 in WA)

🟢
Initial NPI Registration & Enumeration February 04, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770621245
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2007
Last Update: January 11, 2008
Sole Proprietor: Yes

Mailing Address

Po Box 11009

Olympia, WA 985081009

Phone: 3603522037

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.