MATEEN THRELKELD (NPI# 1083191399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083191399 |
| Entity Type | Individual |
| Full Name | MATEEN THRELKELD |
| Credential | MASSAGE THERAPIST |
| Practice Address |
1265 W Huron St Ste 101 Waterford MI 48328-3677 |
| Mailing Address |
1027 Canterbury Dr Pontiac MI 48341-2337 |
| Practice Telephone | 2489774594 |
| Mailing Telephone | 2489043132 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| 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 |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LIABILITY INSURANCE | PL1743888 | 01 |
| Street Address |
1265 W HURON ST STE 101 |
| City | WATERFORD |
| State | MI |
| Zip Code | 48328-3677 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851888143 | Kayla Meyers | Massage Therapist | 1265 W Huron St Ste 101, Waterford, MI 48328-3677 | 2018-04-23 |
| 1063077980 | Tina Shriner | Physical Therapy Assistant | 1265 W Huron St Ste 101, Waterford, MI 48328-3677 | 2019-05-06 |
| 1013497288 | Thomas E Weiberg | Massage Therapist | 1265 W Huron St Ste 101, Waterford, MI 48328-3677 | 2018-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477184125 | Lillian Atty | Pharmacist | 1484 Rivona Dr, Waterford, MI 48328 | 2020-01-31 |
| 1437631850 | Rana Ismail | Pharmacist | 3273 West Huron St, Waterford, MI 48328 | 2018-09-01 |
| 1588181978 | India Dunlap | Social Worker | 279 Summit Dr., Waterford, MI 48328 | 2017-08-25 |
| 1689191280 | Sydney Strandberg | Social Worker | 1145 Parkway, Waterford, MI 48328 | 2017-08-24 |
| 1467982074 | Briana Greenlee | Dietitian, Registered | 3819 Faber Terrace, Waterford, MI 48328 | 2017-06-15 |
| 1922537364 | Lourdes Alzheimer's Special Care | Custodial Care Facility | 2400 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1013446459 | Lourdes Assisted Living | Assisted Living Facility | 2450 Watkins Lake Rd, Waterford, MI 48328 | 2017-06-08 |
| 1588019053 | Legacy Dermatology Group PC | Dermatology | 1392 S Cass Lake Rd, Waterford, MI 48328 | 2016-05-03 |
| 1932567989 | Devenia Denise Clayter | Counselor | 255 Summit Dr, Waterford, MI 48328 | 2016-02-05 |
| 1922409739 | Stacey Diggs | Counselor | 250 Elizabeth Lake Road, Biomed Behavorial Healthcare, Waterford, MI 48328 | 2014-09-11 |
| Find all providers in zip 48328 | ||||
| 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 |
|---|---|---|---|---|
| 1851888143 | Kayla Meyers | Massage Therapist | 1265 W Huron St Ste 101, Waterford, MI 48328-3677 | 2018-04-23 |
| 1891204186 | Debra I Cronin | Massage Therapist | 6650 Highland Rd Ste 119, Waterford, MI 48327-1662 | 2017-09-29 |
| 1932472651 | Audra Guadalupe Keele | Massage Therapist | 86 Boston Post Rd Ste 1, Waterford, CT 06385 | 2012-02-10 |
| 1013497288 | Thomas E Weiberg | Massage Therapist | 1265 W Huron St Ste 101, Waterford, MI 48328-3677 | 2018-08-17 |
| 1700230190 | Karen Renaud | Massage Therapist | 3513 Elizabeth Lake Rd, Suite 218, Waterford, MI 48328-3075 | 2016-04-21 |
| 1053701383 | Deanna Goodwin | Massage Therapist | 7938 Cooley Lake Rd, Suite 400w, Waterford, MI 48327-4404 | 2015-01-26 |
| 1841680188 | Deanna's Therapeutic Massage LLC | Massage Therapist | 7938 Cooley Lake Rd, Suite 400w, Waterford, MI 48327-4404 | 2015-01-26 |
| 1679835789 | Bridgette Ashley Becker | Massage Therapist | 4624 W Walton Blvd, Suite A, Waterford, MI 48329-3566 | 2012-06-14 |
| 1740542950 | Jennifer Lynn Hartmeyer | Massage Therapist | 5798 Highland Rd, Waterford, MI 48327-1826 | 2012-06-13 |
| 1366704462 | Nicole Lennox | Massage Therapist | 3093 Sashabaw Rd, Ste A, Waterford, MI 48329-4089 | 2012-06-13 |
| Find all providers in WATERFORD | ||||
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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.