MYIA MITCHELL (NPI# 1164807889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164807889 |
| Entity Type | Individual |
| Full Name | MYIA MITCHELL |
| Practice Address |
6012 W. North Avenue Milwaukee WI 53213 |
| Mailing Address |
Po Box 100144 Milwaukee WI 53210-0144 |
| Practice Telephone | 4148079555 |
| Mailing Telephone | 4148079555 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7296-085 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6012 W. NORTH AVENUE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
| 1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
| 1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
| 1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
| 1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
| 1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
| 1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| 1902119753 | Totty & Associates | Counselor | 7251 W. North Avenue, Suite 1, Wauwatosa, WI 53213 | 2010-07-22 |
| Find all providers in zip 53213 | ||||
| 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 |
|---|---|---|---|---|
| 1114526068 | Berevon Tayshawn Wyatt | Massage Therapist | 3510 N Oakland Ave Ste 206, Milwaukee, WI 53211-2746 | 2020-10-21 |
| 1003439134 | Roberto Lorenzana | Massage Therapist | 515 W Lincoln Ave, Milwaukee, WI 53207-1133 | 2020-05-23 |
| 1568016426 | Scott M Feist | Massage Therapist | 945 N 12th St Fl 4, Milwaukee, WI 53233-1305 | 2019-07-30 |
| 1992261408 | Amy Lynn Porath | Massage Therapist | 2970 S Delaware Ave, Milwaukee, WI 53207-2562 | 2019-02-20 |
| 1780173740 | Deondre Lewis | Massage Therapist | 4028 S Howell Ave, Milwaukee, WI 53207-4408 | 2018-05-05 |
| 1497161095 | Melissa Young | Massage Therapist | 4359 S Howell Ave, Suite 203, Milwaukee, WI 53207-5056 | 2014-07-03 |
| 1780027128 | Aquillas Lashonda Scott | Massage Therapist | 1916 W Melvina St, Milwaukee, WI 53206-2464 | 2013-04-16 |
| 1740523968 | Jeanne Goggins Zautner | Massage Therapist | 3457 S Burrell St, Milwaukee, WI 53207-3345 | 2013-04-06 |
| 1720316730 | Paula Maria Ortega Flores | Massage Therapist | 2121 South Kinnickinnic Ave, Suite 3, Milwaukee, WI 53207 | 2009-12-02 |
| 1114533478 | Rebecca Ann Biskup | Massage Therapist | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-09-21 |
| Find all providers in MILWAUKEE | ||||
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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.