MS. SHAKA D MCCORMICK (NPI# 1083253520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083253520 |
| Entity Type | Individual |
| Full Name | MS. SHAKA D MCCORMICK |
| Credential | LMT |
| Practice Address |
2804 Osage St Saint Louis MO 63118-4537 |
| Mailing Address |
Po Box 27041 Saint Louis MO 63118-0041 |
| Practice Telephone | 3144480143 |
| Mailing Telephone | 6189181245 |
| Enumeration Date | 2020-01-01 |
| Last Update Date | 2020-01-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2019000899 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2804 OSAGE ST |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63118-4537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770149023 | Clouds of Care In-home Healthcare Services LLC | Hospice Care, Community Based | 3450 Magnolia Ave, Saint Louis, MO 63118 | 2019-05-13 |
| 1154839488 | Serenity Gardens Home Health Services LLC. | Home Health | 3002 S Jefferson Ave Ste 201, Saint Louis, MO 63118 | 2018-01-22 |
| 1861917759 | Freedom Day Center, LLC | Meals | 3309 Meramec Street, Saint Louis, MO 63118 | 2017-08-11 |
| 1669901450 | Stanley Eziukwu | Student in an Organized Health Care Education/Training Program | 3535 S Jefferson Ave Ste 104, Saint Louis, MO 63118 | 2017-06-06 |
| 1467987651 | Hinna Shahid | Internal Medicine | 3545 South Jefferson Ave, St. Louis, MO 63118 | 2017-04-25 |
| 1225436959 | Shelley Stretch | Counselor | 4066 Dunnica Avenue, St. Louis, MO 63118 | 2014-12-11 |
| 1821406174 | Preferred Family Healthcare, Inc | Substance Abuse Rehabilitation Facility | 4066 Dunnica, Saint Louis, MO 63118 | 2014-07-31 |
| 1275898173 | Stephanie Lynn Cullinan | Optometrist | 3122 S Grand, St. Louis, MO 63118 | 2012-07-07 |
| 1174822555 | Morgan Patrick Morris | Chiropractor | 3611 S. Grand Blvd, Suite 200, Saint Louis, MO 63118 | 2011-03-24 |
| 1043481955 | Victor Rivera Md LLC | Obstetrics & Gynecology | 3535 S Jefferson, Suite 106, St Louis, MO 63118 | 2008-03-19 |
| Find all providers in zip 63118 | ||||
| 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 |
|---|---|---|---|---|
| 1346848991 | James Allen Brooks | Massage Therapist | 6436 Chippewa St, Saint Louis, MO 63109-2106 | 2020-10-15 |
| 1083220354 | Jennifer Nahmensen | Massage Therapist | 5433 Cherryview Ln, Saint Louis, MO 63128-3729 | 2020-09-21 |
| 1700492147 | Kelly L Reilly | Massage Therapist | 555 N Harrison Ave Apt 2w, Saint Louis, MO 63122-3969 | 2020-09-21 |
| 1205441862 | Blanche Haley | Massage Therapist | 3664 Montana St Fl 1, Saint Louis, MO 63116-4514 | 2020-09-10 |
| 1306450820 | Ana Wooldridge | Massage Therapist | 7241 Saint Andrews Pl, Saint Louis, MO 63121-5028 | 2020-09-02 |
| 1124652391 | Bobby James Wright | Massage Therapist | 1722 Olive St Ste 212, Saint Louis, MO 63103-1700 | 2020-02-26 |
| 1073025763 | Cyretha Ann Staton | Massage Therapist | 2110 Armitage Dr, Saint Louis, MO 63136-6105 | 2017-11-02 |
| 1891211017 | Jerrad Lee Benton | Massage Therapist | 2430 Tellicherry Dr, Saint Louis, MO 63125-3108 | 2017-08-18 |
| 1538605761 | Jamal Carter | Massage Therapist | 12127 Bellefontaine Rd, Suite 16, Saint Louis, MO 63138-1916 | 2017-01-11 |
| 1639537905 | Eric Tillman | Massage Therapist | 8210 Flora Ave, Saint Louis, MO 63114-6202 | 2016-02-02 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63118 |
Please comment or provide details below to improve the information on MS. SHAKA D MCCORMICK.
| 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.