MS. DEONNA LEA BOUSKA (NPI# 1255628293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255628293 |
Entity Type | Individual |
Full Name | MS. DEONNA LEA BOUSKA |
Credential | CMT |
Practice Address |
18542 Driftwood Rd Clearwater MN 55320-1617 |
Practice Telephone | 3204201463 |
Mailing Telephone | 3204201463 |
Enumeration Date | 2011-06-28 |
Last Update Date | 2011-06-28 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
18542 DRIFTWOOD RD |
City | CLEARWATER |
State | MN |
Zip Code | 55320-1617 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386973469 | Paula Michelle Murray | Registered Nurse | 710 Kelsey Avenue, #204, Clearwater, MN 55320 | 2009-12-18 |
1417128695 | Novacare Outpatient Rehabilitation East Inc | Durable Medical Equipment & Medical Supplies | 600 County Rd 75, Clearwater, MN 55320 | 2008-03-17 |
1962684696 | Bassilleann P.a. | Dentist | 505 N. Walnut Street, Clearwater, MN 55320 | 2007-12-05 |
1487771960 | Kuo-tung Hsu | Dentist | 505 Walnut Street N., Clearwater, MN 55320 | 2007-03-22 |
1366503989 | Wendy Kay Lemke | Psychologist | 810 Clearwater Center, Clearwater, MN 55320 | 2006-12-13 |
1427086578 | Deanna Schmidt | Physician Assistant | 615 Nelson Dr, Clearwater, MN 55320 | 2006-06-29 |
1982648671 | Scott Rahm | Family Medicine | 615 Nelson Drive, Clearwater, MN 55320 | 2006-06-15 |
1376590760 | Eron Lee Bordson | Chiropractor | 935 Professional Building-highway 24, Clearwater, MN 55320 | 2006-05-30 |
1386610624 | Steven Michael Dingmann | Physical Therapist | 600 County Road 75, Clearwater, MN 55320 | 2006-02-27 |
1992771489 | Eric Olaf Emerson | Physical Therapist | 600 County Rd. 75, Clearwater, MN 55320 | 2006-02-24 |
Find all providers in zip 55320 |
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 |
---|---|---|---|---|
1740893676 | Anthony Johnson | Massage Therapist | 25350 Us Highway 19 N Apt 212, Clearwater, FL 33763-2125 | 2020-08-29 |
1326689795 | Jesse Sprague | Massage Therapist | 2561 Harn Blvd Unit 6, Clearwater, FL 33764-5133 | 2019-10-07 |
1508381948 | Michelle Alexandria Brown | Massage Therapist | 2431 Estancia Blvd Ste A2, Clearwater, FL 33761-2608 | 2017-08-07 |
1114442597 | Candy Kibert | Massage Therapist | 2637 Mccormick Dr Ste 102, Clearwater, FL 33759-1034 | 2017-08-07 |
1720485576 | Claude Hooten IIi | Massage Therapist | 641 1/2 Mandalay Ave, Clearwater, FL 33767-1523 | 2014-11-21 |
1972924397 | Melissa Elaine Loera | Massage Therapist | 2936 Drew St, Apt. 1323, Clearwater, FL 33759-3055 | 2014-01-02 |
1578903779 | Susan Marie Pelletier | Massage Therapist | 721 Lakeview Rd, Suite E, Clearwater, FL 33756-3422 | 2013-07-02 |
1659627578 | Jennifer Mcquade Wilson | Massage Therapist | 1153 Ne Cleveland St, Clearwater, FL 33755-4815 | 2012-07-29 |
1629354329 | Cathy Friedman-kamhi | Massage Therapist | 16 N Fort Harrison Ave, Clearwater, FL 33755-4015 | 2011-10-25 |
1558640375 | Steven Charles Lund | Massage Therapist | 1514 Midnight Pass Way, Clearwater, FL 33765-1818 | 2011-08-10 |
Find all providers in CLEARWATER |
City | CLEARWATER |
Zip Code | 55320 |
Please comment or provide details below to improve the information on MS. DEONNA LEA BOUSKA.
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.