DEBORAH SCANLON


Address: 626 Lake Davenport Blvd, Davenport, FL 33897-5432
Phone: 4072341106

DEBORAH SCANLON (NPI# 1023315793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA32348 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 626 LAKE DAVENPORT BLVD
City DAVENPORT
State FL
Zip Code 33897-5432

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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
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City DAVENPORT
Zip Code 33897

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Dataset Information

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.

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