TABITHA D THEODOS (NPI# 1013445600) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013445600 |
| Entity Type | Individual |
| Full Name | TABITHA D THEODOS |
| Credential | LMT |
| Practice Address |
900 Pershing Hwy Jonesboro LA 71251-2046 |
| Practice Telephone | (318) 259-9899 |
| Practice Fax Number | 3182599897 |
| Mailing Telephone | 3182599899 |
| Mailing Fax Number | 3182599897 |
| Enumeration Date | 2017-05-26 |
| Last Update Date | 2017-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8198 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
900 PERSHING HWY |
| City | JONESBORO |
| State | LA |
| Zip Code | 71251-2046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891794491 | Jackson Parish Therapy Center LLC | Specialist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2005-07-18 |
| 1558840157 | Chelsea Dewees | Physical Therapist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2018-08-14 |
| 1255842712 | Rachel Heckford | Speech-Language Pathologist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2017-10-23 |
| 1720515125 | Don Honaker | Physical Therapist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2017-05-16 |
| 1912365180 | Lisa Kim Ding | Occupational Therapist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2016-02-03 |
| 1144640434 | Janet Jacobsen | Physical Therapist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2014-04-24 |
| 1083055610 | Stephanie K Searing | Speech-Language Pathologist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2013-07-11 |
| 1538413679 | Jerry V Yarborough | Physical Therapist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2012-10-26 |
| 1346593910 | Francis John Kilbride | Physical Therapist | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2012-10-19 |
| 1457514770 | Elizabeth Mcbride | Physical Medicine & Rehabilitation | 900 Pershing Hwy, Jonesboro, LA 71251-2046 | 2008-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962985432 | Jonathan Rogers | Non-emergency Medical Transport (VAN) | 131 Eden Circle, Jonesboro, LA 71251 | 2018-09-11 |
| 1891273546 | Charlotte Amos | Case Manager/Care Coordinator | 248 Collin Rd, Jonesboro, LA 71251 | 2018-08-04 |
| 1528429578 | Lisa Hammock | Counselor | 124 Hudson Ave, Jonesboro, LA 71251 | 2016-03-17 |
| 1851752661 | Monique Burks | Behavioral Analyst | 103 4th Street, Stepping Stones, Jonesboro, LA 71251 | 2016-03-08 |
| 1184080046 | Deon Jones | Counselor | 206 Hudson Ave, Jonesboro, LA 71251 | 2016-01-07 |
| 1942672894 | Timothy Stewart | Behavioral Analyst | 201 Forest Dr, Jonesboro, LA 71251 | 2015-10-29 |
| 1871964148 | Stacey Harrell | Social Worker | 305 Cobb Dr, Jonesboro, LA 71251 | 2015-10-13 |
| 1528398799 | Alesia Fortune | Behavioral Analyst | 103 4th St, Jonesboro, LA 71251 | 2010-01-11 |
| 1184848756 | Mayfield Chiropractic Jonesboro, LLC | Chiropractor | 520 S. Polk St., Jonesboro, LA 71251 | 2007-04-12 |
| 1093793408 | Jackson Parish Hospital | General Acute Care Hospital | 165 Beech Springs Rd, Jonesboro, LA 71251 | 2006-01-05 |
| Find all providers in zip 71251 | ||||
| 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 |
|---|---|---|---|---|
| 1104439975 | Shanavia Natae Dickerson | Massage Therapist | 1731 Tilden Ave, Jonesboro, GA 30236-3744 | 2020-08-31 |
| 1720690647 | Tracey Pinckney | Massage Therapist | 149 S Mcdonough St Ste 280, Jonesboro, GA 30236-3693 | 2020-08-21 |
| 1598300097 | Christopher Cooper | Massage Therapist | 922 Monterey Cir, Jonesboro, GA 30236-8252 | 2019-11-08 |
| 1396003968 | Amanda Kay Arnoult | Massage Therapist | 5713 E Nettleton Ave, Jonesboro, AR 72404-7970 | 2012-05-02 |
| 1316263965 | Elizabeth Martina Buck | Massage Therapist | 2010 Fair Park Blvd, Suite F, Jonesboro, AR 72401 | 2010-04-07 |
| 1114532199 | Well Balance Bodies LLC | Massage Therapist | 10305 Misty Ridge Dr, Jonesboro, GA 30238-8027 | 2020-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073112942 | Marc Cadow | Massage Therapist | 1041 Carrollton Ave Apt E, Metairie, LA 70005-2355 | 2020-10-22 |
| 1780283085 | Jennifer Greenup | Massage Therapist | 9270 Siegen Ln Bldg 602, Baton Rouge, LA 70810-0935 | 2020-10-19 |
| 1558968859 | Lydia Gilchrist | Massage Therapist | 2436 Bristol Pl, New Orleans, LA 70131-3712 | 2020-10-08 |
| 1922615111 | Juloni A Rodriguez | Massage Therapist | 1221 Arcadia Dr, Baton Rouge, LA 70810-2641 | 2020-09-30 |
| 1861009003 | Toral Patel | Massage Therapist | 232 S Market St, Opelousas, LA 70570-5167 | 2020-09-30 |
| 1760099543 | Ryan Palliser | Massage Therapist | 3925 Ford St, Metairie, LA 70002-6882 | 2020-09-25 |
| 1841807906 | 12 Hour Massage 2 LLC | Massage Therapist | 3113 Ryan St Ste 6, Lake Charles, LA 70601-8587 | 2020-09-23 |
| 1669088118 | Jenna Margaret Winslow | Massage Therapist | 1121 9th St Apt F, New Orleans, LA 70115-2339 | 2020-09-21 |
| 1538775895 | Maylin C Diaz | Massage Therapist | 2901 Wytchwood Dr, Metairie, LA 70003-4551 | 2020-09-21 |
| 1023622263 | Lakeisha Cravin | Massage Therapist | 13755 River Rd Ste C, Luling, LA 70070-4377 | 2020-09-04 |
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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.