BRENNAN VANDEKERCKHOVE (NPI# 1124632252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124632252 |
| Entity Type | Individual |
| Full Name | BRENNAN VANDEKERCKHOVE |
| Credential | LMT |
| Practice Address |
1967 Morrill St Rear Studio Sarasota FL 34236-6934 |
| Mailing Address |
787 Locklear Ave Sarasota FL 34237-8317 |
| Practice Telephone | 2485207237 |
| Mailing Telephone | 2485207237 |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2020-09-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA89095 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1967 MORRILL ST REAR STUDIO |
| City | SARASOTA |
| State | FL |
| Zip Code | 34236-6934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144584 | Freestyle Healing Srq | Acupuncturist | 1967 Morrill St Rear Studio, Sarasota, FL 34236-6934 | 2020-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679065122 | Pines of Sarasota Healthcare, LLC | Assisted Living Facility | 1251 N Orange Ave, Sarasota, FL 34236 | 2018-05-31 |
| 1053800995 | Susan Grace Swinnerton | Counselor | 1753 Ringling Boulevard, Sarasota, FL 34236 | 2018-05-07 |
| 1457892895 | Smart Living Coaching Services LLC | Psychologist | 1188 N Tamiami Trl Unit 205b, Sarasota, FL 34236 | 2017-03-18 |
| 1427595784 | Lisa Johnson Physical Therapy, Pllc | Physical Therapist | 1451 2nd St, Sarasota, FL 34236 | 2017-01-25 |
| 1003362302 | Jennifer Dawson | Counselor | 1565 State St., Sarasota, FL 34236 | 2016-08-28 |
| 1548662141 | Lanneka White | Nurse Practitioner | 1990 Main Street Suite 750 Unit 738, Sarasota, FL 34236 | 2014-09-25 |
| 1215200878 | Gt Spiritual Enterprises, Inc. | Acupuncturist | 25 South Osprey Avenue, Sarasota, FL 34236 | 2012-02-13 |
| 1225315070 | Michelle Celeste Berhen | Physical Therapist | 1058 N Tamiami Trail 108-280, Sarasota, FL 34236 | 2011-11-08 |
| 1730412701 | My Smile Dentistry | Dentist | 846 South Osprey Avenue, Sarasota, FL 34236 | 2009-09-09 |
| 1134361587 | Kasy Willie Kane | Counselor | 310 South Osprey Avenue, Sarasota, FL 34236 | 2009-04-01 |
| Find all providers in zip 34236 | ||||
| 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 |
|---|---|---|---|---|
| 1538773676 | Sadie Elizabeth Peachey | Massage Therapist | 1022 Graber Ave, Sarasota, FL 34237-8718 | 2020-09-05 |
| 1225642614 | Lisa Oathout | Massage Therapist | 3921 Mediterranea Cir, Sarasota, FL 34233-3300 | 2020-09-02 |
| 1093336042 | Jan Elana Klingensmith | Massage Therapist | 6533 Superior Ave, Sarasota, FL 34231-5835 | 2020-04-30 |
| 1295365526 | Juan Carlos Fleitas | Massage Therapist | 1900 Main St Ste 108, Sarasota, FL 34236-5950 | 2020-01-26 |
| 1952952814 | Mandy Horton Mclendon | Massage Therapist | 1247 1st St, Sarasota, FL 34236-5501 | 2019-09-23 |
| 1750941498 | Cecelia Burnett | Massage Therapist | 3150 Southgate Cir, Sarasota, FL 34239-5515 | 2019-06-14 |
| 1528552460 | Olivia Hylen Baez | Massage Therapist | 5211 S Tamiami Trl, Sarasota, FL 34231-4270 | 2018-06-14 |
| 1538662333 | Douglas E Niven | Massage Therapist | 630 S Orange Ave Ste 301d, Sarasota, FL 34236-7504 | 2018-03-17 |
| 1588165138 | Leslie Freeman | Massage Therapist | 3811 Alden Way, Sarasota, FL 34232-5005 | 2018-02-27 |
| 1942713565 | Claudia Bocanegra | Massage Therapist | 200 S Washington Blvd Ste 6, Sarasota, FL 34236-6957 | 2017-11-06 |
| Find all providers in SARASOTA | ||||
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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.