IVY JO STATON


Address: 4206 N Roxboro St Ste 130, Durham, NC 27704-1868
Phone: 9197295048

IVY JO STATON (NPI# 1235409681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1235409681
Entity Type Individual
Full Name IVY JO STATON
Credential LMBT
Practice Address 4206 N Roxboro St Ste 130
Durham
NC 27704-1868
Practice Telephone 9197295048
Practice Fax Number 9197295038
Mailing Telephone 9197295048
Mailing Fax Number 9197295038
Enumeration Date 2012-01-03
Last Update Date 2012-01-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 3870 NC Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 4206 N ROXBORO ST STE 130
City DURHAM
State NC
Zip Code 27704-1868

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245723139 Devang Ashokbhai Patel Dentist 2609 N Duke St Ste 618, Durham, NC 27704 2018-06-14
1891201042 Little Family Care Home, LLC Custodial Care Facility 1012 Davinci Street, Durham, NC 27704 2017-12-26
1033625702 Tondra A Little Social Worker 2804 Nellowood Street, Durham, NC 27704 2017-12-18
1437502408 Jhazmere Shamas Preston Counselor 2609 N. Duke St. Suite 403, Durham, NC 27704 2016-07-14
1649626656 Professional Elevations Pllc Case Manager/Care Coordinator 304 Crutchfield Drive, Durham, NC 27704 2016-05-09
1083071617 Alyssa Wilson Speech-Language Pathologist 215 William Penn Plz Apt 908, Durham, NC 27704 2016-01-27
1932565124 Arthur Reynolds Jr and Associates P.l.l.c. Dentist 2106 N Duke St, Durham, NC 27704 2016-01-05
1962877720 Chimere Brooks Contractor 4001meriwether Drive Apt P-19, Durham, NC 27704 2015-12-04
1184013294 Danielle King Physician Assistant 3611 N Duke Street, Durham, NC 27704 2015-01-13
1730581901 Images, 'of Me To You' Community/Behavioral Health 2823 Cascadilla Street, Durham, NC 27704 2014-09-19
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275133183 Nick Van Ngo Massage Therapist 6208 Fayetteville Rd Ste 101, Durham, NC 27713-6286 2020-10-29
1356955991 Amanda Foy Massage Therapist 1103 Virginia Ave # Rs, Durham, NC 27705-3261 2020-09-01
1780208785 Emma Lani Bufalini Massage Therapist 37 Juliette Dr, Durham, NC 27713-6744 2020-06-04
1285266973 Alexandra Jane Hamer Massage Therapist 715 Arnette Ave, Durham, NC 27701-3104 2020-02-10
1164067740 Alfonso Lamar Smith Massage Therapist 4216 Garrett Rd Apt A11, Durham, NC 27707-6159 2019-11-07
1568968766 Carla B Miller Massage Therapist 2232 Page Rd Ste 201, Durham, NC 27703-7724 2018-04-05
1952715567 Graham Wolfson Massage Therapist 718 Iredell St, B, Durham, NC 27705-4881 2014-06-12
1760808398 Doresha Banks Massage Therapist 217 W Geer St Apt 2b, Apt 2b, Durham, NC 27701-2242 2014-03-06
1881995256 Mary D'adamo Massage Therapist 915 Orient St, Durham, NC 27701-1818 2010-11-16
1679888457 Sarajo Berman Massage Therapist 2615 Cone Ave, Durham, NC 27704-4715 2010-08-17
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City DURHAM
Zip Code 27704

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Dataset Information

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.

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