ERIC SHEDD (NPI# 1235668930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235668930 |
| Entity Type | Individual |
| Full Name | ERIC SHEDD |
| Credential | LMT |
| Practice Address |
113 W Front St Ste 112 Missoula MT 59802-4332 |
| Mailing Address |
2310 Wylie Ave Missoula MT 59802-3532 |
| Practice Telephone | 2085965267 |
| Mailing Telephone | 2085965267 |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2017-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 11660 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679029748 | Eric Shedd | Counselor | 1900 Silver Lake Road Nw, Suite 110, New Brighton, MN 55112 | 2016-08-29 |
| Street Address |
113 W FRONT ST STE 112 |
| City | MISSOULA |
| State | MT |
| Zip Code | 59802-4332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154945921 | Montana Endoscopy Center, Pllc | Clinic/Center | 1930 W Broadway, Ste B, Missoula, MT 59802 | 2020-06-08 |
| 1194364091 | Tommie Lynn Perusich | Nurse Practitioner | 1120 Cedar St., Missoula, MT 59802 | 2019-12-26 |
| 1386122752 | The Hope Health Alliance, Inc. | Case Management | 314 White House Ln, Missoula, MT 59802 | 2018-07-30 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1528587581 | Missoula Aids Fund, Inc. | Clinic/Center | 1500 W. Broadway Suite A, Missoula, MT 59802 | 2017-09-11 |
| 1942740667 | Gabrielle Shulman | Counselor | 415 N Higgins Ave Ste 14, Missoula, MT 59802 | 2017-02-28 |
| 1053798736 | Endurance Physio | Clinic/Center | 214 E. Main St, Missoula, MT 59802 | 2015-05-01 |
| 1720481971 | Anna Golding | Counselor | 1325 Wyoming Street, Missoula, MONTANA 59802 | 2014-10-02 |
| 1003255803 | Jennifer Dawn Danielson | Speech-Language Pathologist | 2408 Duncan Drive, Missoula, MT 59802 | 2013-06-14 |
| 1437595725 | Partnership Health Center Inc | Clinic/Center | 1150 Sherwood St, Missoula, MT 59802 | 2013-05-14 |
| Find all providers in zip 59802 | ||||
| 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 |
|---|---|---|---|---|
| 1982216834 | Rosemary A Stoudt | Massage Therapist | 415 N Higgins Ave Ste 128, Missoula, MT 59802-4563 | 2020-08-21 |
| 1114549540 | Rozanne Smith | Massage Therapist | 700 South Ave W Ste C, Missoula, MT 59801-8011 | 2020-05-07 |
| 1215584719 | Shelby Riley | Massage Therapist | 2801 S Russell St Ste 39, Missoula, MT 59801-7922 | 2019-08-20 |
| 1588229686 | Kayla Hull | Massage Therapist | 1940 Harve Ave Ste B, Missoula, MT 59801-8332 | 2019-05-03 |
| 1063984078 | Sarah Jane Hanlon | Massage Therapist | 801 Sherwood St Ste 1, Missoula, MT 59802-2659 | 2019-01-02 |
| 1184195182 | Deep Tissue Massage Group, Inc. | Massage Therapist | 725 W Alder St Ste 20, Missoula, MT 59802-4099 | 2018-12-17 |
| 1518435940 | Marc Benjamin Gonzalez | Massage Therapist | 397 Brianna Ct, Missoula, MT 59804-1041 | 2018-11-03 |
| 1780169847 | Cindy Ardis Clippinger | Massage Therapist | 4708 Sage St, Missoula, MT 59808-1475 | 2018-09-25 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
| Find all providers in MISSOULA | ||||
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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.