JACK WEAIR WOOTEN JR. (NPI# 1003414293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003414293 |
| Entity Type | Individual |
| Full Name | JACK WEAIR WOOTEN JR. |
| Practice Address |
2612 W Heiman St Apt D38 Nashville TN 37208-1818 |
| Practice Telephone | 6156865212 |
| Mailing Telephone | 6156865212 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2212 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2612 W Heiman St, Apt 38d, Nashville, TN 37208 | ||
| 2612 W Heiman St Apt D38, Nashville, TN 372081818 |
| Street Address |
2612 W HEIMAN ST APT D38 |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37208-1818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199210 | Michele M Collins | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr, 3rd Floor Gpr Clinic, Nashville, TN 37208 | 2020-06-19 |
| 1730700105 | Prince Eleeh | Student in an Organized Health Care Education/Training Program | Department of Psychiatry, Meharry Medical College, 1005 Dr. D. B. Todd, Jr. Blvd., Nashville, TN 37208 | 2020-04-27 |
| 1750900411 | James Curtis Roberson IIi | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd Jr, Boulevard, Nashville, TN 37208 | 2020-04-13 |
| 1184252322 | Sandip Chaugai | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Blvd, Nashville, TN 37208 | 2020-04-01 |
| 1366070542 | Bukola Adeyinka Olagbende | Student in an Organized Health Care Education/Training Program | 1005 Dr. D.b. Todd, Jr. Blvd, Nashville, Tn, Nashville, TN 37208 | 2020-04-01 |
| 1821651704 | Vielka Oglivie | Social Worker | 1005 Dr. D.b. Todd, Jr Blvd, Nashville, TN 37208 | 2019-04-17 |
| 1154882702 | Ajua Fondong Azingala | Student in an Organized Health Care Education/Training Program | 1005 Dr D B Todd Jr. Blvd, Nashville, TN 37208 | 2019-03-27 |
| 1437619749 | Dockmias Kassahun Demeke | Student in an Organized Health Care Education/Training Program | 1005 Dr D.b. Todd Jr Boulevard, Nashville, TN 37208 | 2019-03-22 |
| 1225598717 | Ekemini Ima Orok | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd Jr., Blvd., Nashville, TN 37208 | 2019-03-21 |
| 1861952608 | Andrea Giselle Lozano | Student in an Organized Health Care Education/Training Program | 1005 Dr. D. B. Todd, Jr. Boulevard, Nashville, TN 37208 | 2019-03-20 |
| Find all providers in zip 37208 | ||||
| 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 |
|---|---|---|---|---|
| 1982210340 | Ashley Hiatt | Massage Therapist | 514 Peach Creek Cres, Nashville, TN 37214-3351 | 2020-09-21 |
| 1306408141 | Rebecca Meadows | Massage Therapist | 504 Clearwater Dr, Nashville, TN 37217-4027 | 2019-07-02 |
| 1417458860 | Tammy G Lee | Massage Therapist | 405 Spickard Ct, Nashville, TN 37218-3628 | 2018-02-21 |
| 1831647569 | Laurie Klein | Massage Therapist | 1611 Brentwood Ter, Nashville, TN 37211-7258 | 2016-09-11 |
| 1821544644 | Caeleb Grey | Massage Therapist | 2817 W End Ave Ste 205, Nashville, TN 37203-1468 | 2016-08-31 |
| 1417300039 | Bonnie Mccormick Gluth | Massage Therapist | 47 Vaughns Gap Rd, Nashville, TN 37205-4318 | 2016-07-19 |
| 1760835565 | Kimberly Nelson | Massage Therapist | 202 Desoto Dr, Nashville, TN 37210-5108 | 2016-07-16 |
| 1083075188 | Joy Shaw | Massage Therapist | 2510 Sharondale Dr, Nashville, TN 37215-1152 | 2016-03-16 |
| 1104248707 | Benjamin Ownby | Massage Therapist | 320 Melvin Jones Dr, Nashville, TN 37217-3112 | 2014-01-16 |
| 1124452925 | Pamela Whitaker | Massage Therapist | 64b Arcade, Nashville, TN 37219-1905 | 2013-08-28 |
| Find all providers in NASHVILLE | ||||
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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.