DEANNE PENNELL (NPI# 1104232628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104232628 |
| Entity Type | Individual |
| Full Name | DEANNE PENNELL |
| Credential | LMT |
| Practice Address |
445 W Liberty St Suite 100 Medina OH 44256-2273 |
| Practice Telephone | 3307252111 |
| Practice Fax Number | 3307252111 |
| Mailing Telephone | 3307252111 |
| Mailing Fax Number | 3307252111 |
| Enumeration Date | 2014-07-03 |
| Last Update Date | 2014-07-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 33.015866 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
445 W LIBERTY ST SUITE 100 |
| City | MEDINA |
| State | OH |
| Zip Code | 44256-2273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144233271 | Rolf Edwin Wicks | Social Worker | 445 W Liberty St, Suite 225, Medina, OH 44256-2273 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
| 1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
| 1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
| 1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
| 1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
| Find all providers in zip 44256 | ||||
| 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 |
|---|---|---|---|---|
| 1174154835 | Robyn Norman | Massage Therapist | 1392 Medina Rd Apt B, Medina, OH 44256-5332 | 2020-01-31 |
| 1699232199 | Carin Marks | Massage Therapist | 5550 Carriage Ln, Medina, OH 44256-6541 | 2019-02-21 |
| 1699132217 | Katie Crooks | Massage Therapist | 447-449 Main St, Suite 2, Medina, NY 14103-1416 | 2016-01-27 |
| 1134521016 | Jay Russell Jeffries | Massage Therapist | 2229 Evergreen Point Rd, Medina, WA 98039-2342 | 2014-09-22 |
| 1316364979 | Roger W Buttrick | Massage Therapist | 7533 Stone Rd, Medina, OH 44256-8996 | 2014-03-20 |
| 1669618443 | Yvonne Marie Fey | Massage Therapist | 1075 S Court St Ste 200, Medina, OH 44256-3836 | 2008-12-26 |
| 1720253883 | Gary L Condoluci | Massage Therapist | 11020 West Center St Ext, Medina, NY 14103 | 2008-04-29 |
| 1528491271 | Melissa Janine Trombley | Massage Therapist | 750 E Washington St, Suite A1, Medina, OH 44256-2196 | 2013-08-16 |
| 1679820708 | Jennifer Lynn Wigal | Massage Therapist | 155 Northland Dr, Medina, OH 44256-1534 | 2012-08-08 |
| 1184971350 | Rachel Joy Osterland | Massage Therapist | 155 Northland Dr, Medina, OH 44256-1534 | 2012-08-07 |
| Find all providers in MEDINA | ||||
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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.