DEBORAH SCANLON (NPI# 1023315793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023315793 |
Entity Type | Individual |
Full Name | DEBORAH SCANLON |
Credential | LMT |
Practice Address |
626 Lake Davenport Blvd Davenport FL 33897-5432 |
Practice Telephone | 4072341106 |
Mailing Telephone | 4072341106 |
Enumeration Date | 2011-02-16 |
Last Update Date | 2011-02-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA32348 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
626 LAKE DAVENPORT BLVD |
City | DAVENPORT |
State | FL |
Zip Code | 33897-5432 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679182703 | Isis Orozco | Case Management | 9031 Pelican Cove, Davenport, FL 33897 | 2020-07-24 |
1669001178 | Jean Maxcene Decarde | Clinic/Center | 548 Solana Circle, Davenport, FL 33897 | 2020-04-06 |
1295298818 | Team Reid Solutions, Inc. | Clinic/Center | 843 Kettering Road, Davenport, FL 33897 | 2019-04-10 |
1013474063 | Surgeons of Central Florida LLC | General Practice | 755 Jay Bee Avenue, Davenport, FL 33897 | 2019-02-26 |
1033687108 | Detsy Z Negron | Registered Nurse | 121 Champions Vue Loop, Apt 101, Davenport, FL 33897 | 2018-11-07 |
1487122917 | Angela Burgos | Case Manager/Care Coordinator | 457 La Mirage Street, Davenport, FL 33897 | 2018-11-02 |
1790198323 | Compassionate Home Health Care LLC | Non-emergency Medical Transport (VAN) | 248 Plumoso Loop, Davenport, FL 33897 | 2014-06-11 |
1740530542 | Santiago Lopez | Chiropractor | 170 Hastead Dr, Davenport, FL 33897 | 2012-09-19 |
1942471685 | Carolina Gemma Leuthner | Speech-Language Pathologist | 736 Rodchester Loop, Davenport, FL 33897 | 2008-03-21 |
1013926377 | Omayra Torres | Dentist | 7700 Lake Wilson Road, Davenport, FL 33897 | 2006-08-05 |
Find all providers in zip 33897 |
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 |
---|---|---|---|---|
1922612274 | Kimberly Zariya Honaker | Massage Therapist | 398 Madison Drive, Davenport, FL 33837 | 2020-09-03 |
1801362751 | Leslie Bateman | Massage Therapist | 500 Iowa St Apt 113, Davenport, IA 52801-1727 | 2018-10-18 |
1629579644 | Teresa Johnson | Massage Therapist | 10502 118th St, Davenport, IA 52804-9568 | 2018-02-25 |
1346751450 | Renee Bischoff | Massage Therapist | 610 Lady Diana Dr, Davenport, FL 33837-7681 | 2017-10-16 |
1184165011 | Saulo Solis-rosario | Massage Therapist | 211 Garberia Dr, Davenport, FL 33837-3942 | 2017-03-11 |
1023491065 | Dolgorsuren Quinn | Massage Therapist | 528 E 38th St, Davenport, IA 52807-1603 | 2015-07-08 |
1891074878 | Larae S. Damschen | Massage Therapist | 100 3rd St Ste 2, Davenport, WA 99122-5008 | 2011-08-09 |
1043533201 | Jorge Gonzalez | Massage Therapist | 346 Ashley Loop, Davenport, FL 33837-8820 | 2010-03-02 |
1013156785 | Nanette Whitman | Massage Therapist | 203 E Pine St, Davenport, FL 33837-4115 | 2009-02-19 |
1598232746 | Dianna Marie Darland | Massage Therapist | 2220 E 53rd St, Davenport, IA 52807-2704 | 2018-10-25 |
Find all providers in DAVENPORT |
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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.