SHELLIA MARIE BENNETT (NPI# 1245876093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245876093 |
| Entity Type | Individual |
| Full Name | SHELLIA MARIE BENNETT |
| Credential | MASSAGE THERAPIST |
| Practice Address |
25389 Mccurran Ranch Rd Custer SD 57730-8309 |
| Mailing Address |
Po Box 125 Pringle SD 57773-0125 |
| Practice Telephone | 6055454664 |
| Mailing Telephone | 6055454664 |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT-11692 | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
25389 MCCURRAN RANCH RD |
| City | CUSTER |
| State | SD |
| Zip Code | 57730-8309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801275326 | Heidi Sahling | Counselor | 124 6th Street, Custer, SD 57730 | 2015-05-29 |
| 1275623134 | Custer Ambulance Service Inc | Ambulance | 30 S 3rd St, Custer, SD 57730 | 2006-10-13 |
| 1801984026 | Josephine A. Chase | Social Worker | 29 N 6th St., Custer, SD 57730 | 2006-10-11 |
| 1750473070 | Horse Nation Healing, Inc. | Social Worker | 37 N 5th St., Custer, SD 57730 | 2006-09-28 |
| 1760483713 | Regional Health Network Inc | Assisted Living Facility | 423 N 10 St, Custer, SD 57730 | 2005-08-02 |
| 1578019436 | Carey Daunt | Physical Therapist | 1041 Montgomery St, Custer Regional Hospital, Custer, SD 57730 | 2016-08-31 |
| 1972985224 | Christopher James Wenger | Family Medicine | 1220 Montgomery St, Custer, SD 57730 | 2015-06-23 |
| 1689760399 | Sandra Lee Conard | Chiropractor | 246 N 5th St, Custer, SD 57730 | 2006-10-04 |
| 1912014499 | Joleen E Falkenburg | Family Medicine | 1041 Montgomery Street, Custer, SD 57730 | 2006-08-23 |
| 1831161413 | Lisa B Brown | Family Medicine | 1041 Montgomery Street, Custer, SD 57730 | 2006-02-07 |
| Find all providers in zip 57730 | ||||
| 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 |
|---|---|---|---|---|
| 1528607322 | Kristy Moodie | Massage Therapist | 7858 Ham Rd, Custer, WA 98240-9517 | 2019-12-27 |
| 1528442316 | Jennifer Tietsort | Massage Therapist | 632 Mount Rushmore Rd, Custer, SD 57730-2031 | 2015-07-12 |
| 1063720696 | Laura J. Burden | Massage Therapist | 11 N 5th St, Custer, SD 57730-6801 | 2010-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286868 | Christel Ann Vizecky | Massage Therapist | 2101 W 41st St Ste 4, Sioux Falls, SD 57105-6195 | 2020-05-10 |
| 1023644705 | Sarah J Trask | Massage Therapist | 429 Kansas City St Ste 1b, Rapid City, SD 57701-3668 | 2020-03-13 |
| 1508403932 | Kevin Alexander Sr. | Massage Therapist | 916 Main St Ste 108, Rapid City, SD 57701-2606 | 2019-12-04 |
| 1497390942 | Russell Ivan Kimball | Massage Therapist | 202 S Main St Ste 450, Aberdeen, SD 57401-4114 | 2019-11-07 |
| 1669016762 | Jeanne Thune | Massage Therapist | 370 W Anchor Dr Ste 217, Dakota Dunes, SD 57049-5153 | 2019-10-31 |
| 1346884616 | Lauren Opp | Massage Therapist | 902 W 22nd St, Sioux Falls, SD 57105-1604 | 2019-10-30 |
| 1053955583 | Kelsey Lee | Massage Therapist | 318 11th Ave S, Faulkton, SD 57438-2185 | 2019-10-28 |
| 1346884871 | Erica Degler | Massage Therapist | 5460 E Blarney Pl Apt 3, Sioux Falls, SD 57110-3700 | 2019-10-28 |
| 1699333823 | Theresa Marie Riibe | Massage Therapist | 231 Broadway Ave Ste C, Yankton, SD 57078-4240 | 2019-06-03 |
| 1104483197 | Ht Massage Therapy | Massage Therapist | 3615 W 57th St, Sioux Falls, SD 57108-2709 | 2019-05-24 |
| 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.