TERESA KENNEALY (NPI# 1083166672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083166672 |
| Entity Type | Individual |
| Full Name | TERESA KENNEALY |
| Credential | LMT, CMT |
| Practice Address |
1830 Highland Way Brentwood CA 94513-5806 |
| Mailing Address |
1120 2nd St Suite A Brentwood CA 94513-2295 |
| Practice Telephone | 9254640527 |
| Mailing Telephone | 9254941303 |
| Enumeration Date | 2016-10-29 |
| Last Update Date | 2016-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1830 HIGHLAND WAY |
| City | BRENTWOOD |
| State | CA |
| Zip Code | 94513-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154806008 | Brooke Bell | Student in an Organized Health Care Education/Training Program | 1780 Anastasia Drive, Brentwood, CA 94513 | 2018-09-26 |
| 1992287353 | Cheryl Lynn Dobson | Nurse Practitioner | 1206 Silverton Way, Brentwood, CA 94513 | 2018-09-02 |
| 1093212102 | Discovery Practice Management, Inc. | Psychiatric Residential Treatment Facility | 795 Eden Plains Road, Brentwood, CA 94513 | 2018-04-06 |
| 1851812838 | Vincent Robert Locascio | Dentist | 100 Cortona Way Ste 200, Brentwood, CA 94513 | 2017-06-29 |
| 1770012221 | Rosalind Sheila Raynor | Marriage & Family Therapist | Golden Hills Counseling Center, 2401 Shady Willow Ln., Brentwood, CA 94513 | 2017-06-08 |
| 1427592054 | Tekia Oliver | Private Vehicle | 2758 Saint Andrews Dr., Brentwood, CA 94513 | 2016-12-16 |
| 1467908681 | Abid Niazi | Student in an Organized Health Care Education/Training Program | 2108 Cristina Way, Brentwood, CA 94513 | 2016-08-28 |
| 1346600418 | Foundations Therapy Services | Specialist/Technologist | 101 Continente Ave, Suite 100, Brentwood, CA 94513 | 2016-03-02 |
| 1093171654 | Sabrina Samaniego | Behavioral Analyst | 809 Paririe Rose Way, Brentwood, CA 94513 | 2016-01-12 |
| 1477920841 | Susan C Novak-nizami | Registered Nurse | 2400 Balfour Rd., Patient Support Services, Brentwood, CA 94513 | 2015-09-01 |
| Find all providers in zip 94513 | ||||
| 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 |
|---|---|---|---|---|
| 1306444575 | Elenoa Kalei Aipoalani | Massage Therapist | 1240 Central Blvd Ste A3, Brentwood, CA 94513-2228 | 2020-10-11 |
| 1447883764 | Amy Ferguson | Massage Therapist | 8157 Brentwood Blvd Ste A, Brentwood, CA 94513-1193 | 2020-02-14 |
| 1457812802 | Melissa Ann Alkire | Massage Therapist | 240 Plunkett St, Brentwood, NY 11717-7120 | 2019-03-28 |
| 1528556107 | Amy Rosinski | Massage Therapist | 1806 Williamson Ct Ste 201, Brentwood, TN 37027-7974 | 2018-04-29 |
| 1811341142 | Lyle J Miller IIi | Massage Therapist | 5541 Lone Tree Way, Suite 127, Brentwood, CA 94513-5363 | 2016-04-22 |
| 1255791737 | Chris Runko | Massage Therapist | 11 Pilgrim Rd, Brentwood, NY 11717-1013 | 2016-02-26 |
| 1982953139 | Sarah Elizabeth Dahlheim | Massage Therapist | 613 1st St Ste 210, Brentwood, CA 94513-1362 | 2012-09-04 |
| 1609051119 | Katherine Ann Stankevich | Massage Therapist | 1524 Woodfield Ct, Brentwood, TN 37027-8639 | 2008-01-02 |
| 1184746737 | Susanna Penrod | Massage Therapist | 5119 Victoria Cv, Brentwood, TN 37027-6806 | 2007-04-04 |
| 1629476528 | Smith Massage Therapy | Massage Therapist | 191 Sand Creek Rd, Suite 202-b, Brentwood, CA 94513-2215 | 2014-12-09 |
| Find all providers in BRENTWOOD | ||||
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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.