KRISCYNTHIA OUTLAW (NPI# 1013564368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1013564368 |
Entity Type | Individual |
Full Name | KRISCYNTHIA OUTLAW |
Practice Address |
6642 E Pacific Coast Hwy Ste 105 Long Beach CA 90803-4208 |
Practice Telephone | 3106312123 |
Mailing Telephone | 3106312123 |
Enumeration Date | 2019-08-21 |
Last Update Date | 2019-08-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 25010 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
6642 E PACIFIC COAST HWY STE 105 |
City | LONG BEACH |
State | CA |
Zip Code | 90803-4208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568011377 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 6440 E. Pacific Coast Highway, Space B-165, Long Beach, CA 90803 | 2019-09-05 |
1518426931 | Quashanika Marin | Behavior Technician | 55555 Anton Blvd, Costa Mesa, CA 90803 | 2019-03-15 |
1629569405 | Shiori Koga Lange | Social Worker | 6615 E Pacific Coast Hwy Ste 225, Long Beach, CA 90803 | 2018-05-29 |
1083117832 | Amos Hirsh | Specialist/Technologist | 3409 E 1st St., B, Long Beach, CA 90803 | 2018-03-16 |
1972029130 | Lilia Bolgov | Dietitian, Registered | 3528 E 2nd St, Apt 1, Long Beach, CA 90803 | 2017-08-19 |
1669907523 | Ashley Clary | Substance Abuse Rehabilitation Facility | 6621 Pacific Coast Highway, Long Beach, CA 90803 | 2017-04-27 |
1629438247 | Victoria Nguyen Dental Corporation | Dentist | 6437 E. Pacific Coast Highway, Unit A-6, Long Beach, CA 90803 | 2016-02-24 |
1548633829 | Anne Yeakel | Chiropractor | 6234 E Pacific Coast Hwy, Unit C, Long Beach, CA 90803 | 2015-11-09 |
1376921023 | Lauren Katherine Mills | Registered Nurse | 6000 Bixby Village Drive #5, Long Beach, CA 90803 | 2015-05-14 |
1205173317 | Richard Stuart Egan | Otolaryngology | 310 Blue Cavern Point, Long Beach, CA 90803 | 2013-01-09 |
Find all providers in zip 90803 |
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 |
---|---|---|---|---|
1578162343 | Shanna Rae Parker | Massage Therapist | 4226 E 4th St Apt 1, Long Beach, CA 90814-4927 | 2020-10-22 |
1184223430 | Kelly Schott | Massage Therapist | 455 E Ocean Blvd Apt 702, Long Beach, CA 90802-4941 | 2020-10-19 |
1568069615 | Michael Navalta | Massage Therapist | 436 W 4th St Apt 8, Long Beach, CA 90802-2853 | 2020-10-01 |
1144837527 | Keith Garrison | Massage Therapist | 1501 E 3rd St Apt E, Long Beach, CA 90802-3623 | 2020-09-29 |
1053928846 | Beatriz Diego | Massage Therapist | 1535 E Hellman St Apt 8, Long Beach, CA 90813-6359 | 2020-09-26 |
1912514837 | Patricia Manseras | Massage Therapist | 3100 E 7th St Apt 7, Long Beach, CA 90804-4985 | 2020-09-24 |
1609482777 | Sybyl Cohen | Massage Therapist | 3703 Country Club Dr Unit 2, Long Beach, CA 90807-3127 | 2020-09-23 |
1124634274 | Tara Quinn | Massage Therapist | 5279 E The Toledo Apt 25279e, Long Beach, CA 90803-1862 | 2020-09-23 |
1619582178 | Mauricio Patino | Massage Therapist | 465 Shore Rd Apt 6r, Long Beach, NY 11561-5338 | 2020-09-11 |
1710519038 | Can Flei Corp. | Massage Therapist | 116 Taft Ave., Long Beach, NY 11561 | 2020-02-05 |
Find all providers in LONG BEACH |
City | LONG BEACH |
Zip Code | 90803 |
Please comment or provide details below to improve the information on KRISCYNTHIA OUTLAW.
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.