SHIA MARIE GREEN (NPI# 1063050821) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063050821 |
Entity Type | Individual |
Full Name | SHIA MARIE GREEN |
Practice Address |
7165 Dogwood Rd Lexington MI 48450-8911 |
Practice Telephone | 8109411745 |
Mailing Telephone | 8109411745 |
Enumeration Date | 2019-12-11 |
Last Update Date | 2019-12-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 7501009539 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
7165 DOGWOOD RD |
City | LEXINGTON |
State | MI |
Zip Code | 48450-8911 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427411941 | Cheri Hood | Licensed Practical Nurse | 71654 Sunset Dr., Lexington, MI 48450 | 2016-04-01 |
1679659924 | Timothy Daniel Vincent | Physical Therapist | 5590 Main Street, Suite 4, Lexington, MI 48450 | 2006-10-30 |
1285668863 | Jacqueline Michelle Scarbrough | Optometrist | 5590 Main St., Suite 1, Lexington, MI 48450 | 2006-07-10 |
1477627131 | Family Eye Care, P.C. | Optometrist | 5590 Main Street, Suite 1, Lexington, MI 48450 | 2006-11-17 |
1275619538 | Jon David Ely | Physical Therapist | 5590 Main St., Suite 4, Lexington, MI 48450 | 2006-10-30 |
1598966764 | Prostaff Physical Therapy, Pllc | Clinic/Center | 5590 Main St., Suite 4, Lexington, MI 48450-0416 | 2007-05-29 |
1982943833 | Betty L Rathfon | Counselor | 901 Chippewa St, Flint, MI 48450-1552 | 2013-02-12 |
1831366335 | Watson Manor, Inc. | Clinic/Center | 7175 Huron Ave, Lexington, MI 48450-8314 | 2008-05-14 |
1518982818 | Ehardts Pharmacy Inc | Pharmacy | 7275 Huron Ave, Lexington, MI 48450-8324 | 2006-07-13 |
1124641238 | Kristi Watson | Pharmacist | 7275 Huron Ave, Lexington, MI 48450-8324 | 2020-05-22 |
Find all providers in zip 48450 |
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 |
---|---|---|---|---|
1760004006 | Hope Sheridan | Massage Therapist | 103 Hobcaw Dr, Lexington, SC 29072-2337 | 2020-05-09 |
1215576616 | Robert Tricomi | Massage Therapist | 1666 Massachusetts Ave Ste 6, Lexington, MA 02420-5313 | 2020-01-02 |
1700423829 | Brenda Johnson | Massage Therapist | 2375 Professional Heights Dr Ste 260, Lexington, KY 40503-3040 | 2019-12-09 |
1114571908 | Charles Jeffrey Butler | Massage Therapist | 233 Towne Square Park, Lexington, KY 40511-2097 | 2019-07-30 |
1053963892 | Jessica Nazareno Ferrer | Massage Therapist | 35 Bedford St Ste 11, Lexington, MA 02420-4439 | 2019-07-11 |
1649839820 | Michelle Fisher | Massage Therapist | 238 Bedford St Ste 1, Lexington, MA 02420-3436 | 2019-06-11 |
1649740689 | Daniel Napier | Massage Therapist | 800 Rose Street Whitney-hendrickson Third Floor, Lexington, KY 40536-0001 | 2018-12-03 |
1396229571 | Melissa Dawn Beasley | Massage Therapist | 3150 Custer Dr Ste 100, Lexington, KY 40517-4010 | 2018-09-24 |
1447740865 | Thuyvi Vischi | Massage Therapist | 124 Kentucky Ave Ste 12, Lexington, KY 40502-1755 | 2018-05-10 |
1558860429 | Shallon Cain | Massage Therapist | 5339 Sunset Blvd Ste E, Lexington, SC 29072-8713 | 2018-02-06 |
Find all providers in LEXINGTON |
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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.