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Deactivated NPI 1063706380 Deactivated / Inactive NPI Female Practitioner

Suzanne C Wilson , LMP

Mechanotherapist • Quincy, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Suzanne Wilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 03, 2011
NPI Deactivation Date March 27, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Suzanne Wilson, LMP was a registered Mechanotherapist practicing in Quincy, WA. Throughout an active medical career spanning 14 years, Suzanne Wilson provided care at the practice location at 110 C ST SW until profile deactivation on 2025-03-27.

Practice Location & Contact Primary Location

Practice Address

110 C St Sw

Quincy, WA 988481207

Telephone 5097871918
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Mechanotherapist in Quincy, WA

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

Practicing in Quincy, WA (431 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

Mechanotherapist Primary Specialty

NUCC Taxonomy Code: 172M00000X

State License WA MA00022790

A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Aimee Lutz , LMP

Massage Therapist

NPI 1609170968

Licensed Massage Practitioner

NPI 1629007935

Doctor of Chiropractic

NPI 1760723084

Doctor of Chiropractic

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 27, 2025

Record deactivated on March 27, 2025

NPI Profile Active June 03, 2011

NPI status registered as active in NPPES database

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Updated Practice Location June 03, 2011

Registered at 110 C ST SW, QUINCY, WA 988481207 (Tel: 5097871918)

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Updated Business Mailing Address June 03, 2011

Registered at 14296 ROAD 11 NW, QUINCY, WA 988489670 (Tel: 5093985304)

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Provider Name / Credentials Updated June 03, 2011

Recorded as SUZANNE WILSON, LMP

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2011

Mechanotherapist (License #MA00022790 in WA)

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Initial NPI Registration & Enumeration June 03, 2011

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: 1063706380
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2011
Last Update: June 03, 2011
Deactivation Date: March 27, 2025

Mailing Address

14296 Road 11 Nw

Quincy, WA 988489670

Phone: 5093985304

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.