AMANDA SKORUPSKI (NPI# 1205209699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205209699 |
| Entity Type | Individual |
| Full Name | AMANDA SKORUPSKI |
| Credential | LMT |
| Practice Address |
1049 Daniel Wallace Rd Nw Townsend GA 31331-7408 |
| Mailing Address |
Po Box 734 Darien GA 31305-0734 |
| Practice Telephone | 9122306490 |
| Mailing Telephone | 9122611017 |
| Mailing Fax Number | 9125543980 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2016-05-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT008258 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1049 DANIEL WALLACE RD NW |
| City | TOWNSEND |
| State | GA |
| Zip Code | 31331-7408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790095925 | Allen Delaney | Counselor | 1192 Pelican Ln Se, Townsend, GA 31331-3516 | 2010-10-21 |
| 1316900475 | Mark A Lewis | Emergency Medicine | 1689 Eagle Neck Dr Ne, Townsend, GA 31331-3552 | 2006-04-10 |
| 1376066365 | Aundra Simmons Vaughn | Counselor | 15938 Us Highway 17, Townsend, GA 31331-3706 | 2017-07-20 |
| 1336656578 | Georbea Enterprises LLC | Counselor | 15938 Us Highway 17, Townsend, GA 31331-3706 | 2018-01-09 |
| 1568473395 | Eulonia Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 15268 Us Highway 17, Townsend, GA 31331-3854 | 2006-08-10 |
| 1942345673 | Eulonia Pharmacy, Inc. | Pharmacy | 15268 Us Highway 17, Townsend, GA 31331-3854 | 2007-02-20 |
| 1316018740 | Lana C Carter | Pharmacist | 15268 Us Highway 17, Townsend, GA 31331-3854 | 2006-11-09 |
| 1760653968 | Victoria Barnett Bryant | Marriage & Family Therapist | 1386 Kens Way Ne, Townsend, GA 31331-5128 | 2008-03-14 |
| 1841200441 | Mcintosh County Commissioners of Roads & Revenue | Ambulance | 1040 Barfield Road Sw, Townsend, GA 31331-6117 | 2006-08-08 |
| 1295262855 | Tina Michelle Dauphinais | Massage Therapist | 1288 Cox Rd Sw, Townsend, GA 31331-7019 | 2017-05-15 |
| Find all providers in zip 31331 | ||||
| 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 |
|---|---|---|---|---|
| 1295262855 | Tina Michelle Dauphinais | Massage Therapist | 1288 Cox Rd Sw, Townsend, GA 31331-7019 | 2017-05-15 |
| 1326429010 | Phillip James Adamczyk | Massage Therapist | 17250 Brookside Ct, Townsend, WI 54175-9622 | 2015-06-18 |
| 1386206423 | Cassandra Nicole Adams | Massage Therapist | 17250 Brookside Ct, Townsend, WI 54175-9622 | 2019-06-28 |
| 1700320470 | Gregory Meninger | Massage Therapist | 356 Main St, Office B, Townsend, MA 01469-1028 | 2016-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346169 | Debra Davis | Massage Therapist | 702 Baldwin Dr Ste A, Albany, GA 31707-4027 | 2020-11-06 |
| 1780285197 | Tyrone Roy | Massage Therapist | 869 King Rd, Stone Mountain, GA 30088-2203 | 2020-11-03 |
| 1295336758 | Nadia Elizabeth Jones | Massage Therapist | 300 S Hamilton St, Dalton, GA 30720-8215 | 2020-11-02 |
| 1164022968 | Gregory R Bell Jr. | Massage Therapist | 106 W Henry St # B, Savannah, GA 31401-6721 | 2020-10-30 |
| 1770183527 | Alexander Jones | Massage Therapist | 626 Dekalb Ave Se Apt 1445, Atlanta, GA 30312-5409 | 2020-10-30 |
| 1134728124 | Quaniessa Rochelle Jenkins | Massage Therapist | 449 Oak Dr # 2, Atlanta, GA 30354-1228 | 2020-10-20 |
| 1598364630 | Amy Yang | Massage Therapist | 4505 Bradstone Trce Nw, Lilburn, GA 30047-8019 | 2020-10-20 |
| 1073112405 | Tavia Rena Bell | Massage Therapist | 2512 Grayton Loop, Villa Rica, GA 30180-6702 | 2020-10-17 |
| 1063010437 | Miranda Browne | Massage Therapist | 335 Roberts Rd, Athens, GA 30606-1227 | 2020-10-16 |
| 1710585567 | Lailyn Pineda Burkett | Massage Therapist | 3550 Ga Highway 20 South, Conyers, GA 30013-2877 | 2020-10-14 |
| Find all providers with the same taxonomy | ||||
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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.