RYAN WITHOLT (NPI# 1043690852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043690852 |
| Entity Type | Individual |
| Full Name | RYAN WITHOLT |
| Credential | LMT |
| Practice Address |
4005 S El Capitan Way Las Vegas NV 89147-3430 |
| Mailing Address |
6222 Foothill Blvd Las Vegas NV 89118-1455 |
| Practice Telephone | 1702751600 |
| Mailing Telephone | 7025051494 |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2015-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 3291 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4005 S EL CAPITAN WAY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147-3430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| Find all providers in zip 89147 | ||||
| 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 |
|---|---|---|---|---|
| 1275133480 | Jasmine White | Massage Therapist | 3820 Celcius Pl, Las Vegas, NV 89129-6480 | 2020-10-27 |
| 1508465931 | Amber E Lloyd | Massage Therapist | 5855 Natures Dr, Las Vegas, NV 89122-6104 | 2020-10-17 |
| 1427656842 | Daniel Vasquez Vargas | Massage Therapist | 7509 Council Ave, Las Vegas, NV 89128-3253 | 2020-10-16 |
| 1134735020 | Walter Strickland | Massage Therapist | 5332 Danville Ln, Las Vegas, NV 89119-1154 | 2020-09-16 |
| 1962016923 | Nick Marte | Massage Therapist | 8321 W Sahara Ave 2057, Las Vegas, NV 89117 | 2020-09-06 |
| 1922612589 | Janae Preston | Massage Therapist | 5540 W Harmon Ave Apt 1005, Las Vegas, NV 89103-5123 | 2020-09-01 |
| 1427668920 | Kendell Gruendell | Massage Therapist | 690 Hermosa Palms Ave, Las Vegas, NV 89123-2314 | 2020-08-09 |
| 1093325532 | Shannon Yee | Massage Therapist | 4310 Sandy River Dr Unit 73, Las Vegas, NV 89103-6108 | 2020-08-07 |
| 1285244871 | Antyonett Christina Santana | Massage Therapist | 5415 W Harmon Ave Unit 1047, Las Vegas, NV 89103-7013 | 2020-08-07 |
| 1851917389 | Stacey Toomey | Massage Therapist | 3950 E Sunset Rd Ste 118, Las Vegas, NV 89120-4906 | 2020-06-20 |
| Find all providers in LAS VEGAS | ||||
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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.