CLEARWATER BEACH SPA, INC. (NPI# 1255738019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255738019 |
| Entity Type | Organization |
| Organization Name | CLEARWATER BEACH SPA, INC. |
| Practice Address |
641 1/2 Mandalay Ave Clearwater FL 33767-1523 |
| Mailing Address |
1154 Granada St Clearwater FL 33755-1036 |
| Practice Telephone | 7274617041 |
| Mailing Telephone | 7274617041 |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2014-11-21 |
| Authorized Official Name | MR. CLAUDE GIBSON HOOTEN III (PRESIDENT) |
| Authorized Official Telephone | 7274604789 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 16689 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
641 1/2 MANDALAY AVE |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33767-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720485576 | Claude Hooten IIi | Massage Therapist | 641 1/2 Mandalay Ave, Clearwater, FL 33767-1523 | 2014-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942777867 | Ramona Fatima Santos | Pharmacist | 31 Island Way, Apt 604, Clearwater Beach, FL 33767 | 2018-10-29 |
| 1831475912 | Brittney Johnson | Behavioral Analyst | 1351 Gulf Blvd Apt 212, Clearwater, FL 33767 | 2011-11-02 |
| 1902078553 | Nick V Faklis | Dentist | 251 Windward Passage, Suite H, Clearwater, FL 33767 | 2008-03-24 |
| 1417072364 | Douglas F Welpton | Psychiatry & Neurology | 1007 Bay Esplanade, Clearwater, FL 33767-1019 | 2007-03-20 |
| 1851399778 | Robert Louis Drapkin | Internal Medicine | 1003 Bay Esplanade, Clearwater, FL 33767-1019 | 2005-07-13 |
| 1528002037 | Maria Elizabeth Van Bemmel | Physical Therapist | 875 Lantana Ave, Clearwater Beach, FL 33767-1125 | 2006-06-15 |
| 1346225166 | Richard Marvin Slone | Radiology | 840 Bay Esplanade, Clearwater Beach, FL 33767-1301 | 2005-12-14 |
| 1346510724 | Thomas Deal | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 800 Eldorado Ave, Clearwater, FL 33767-1312 | 2012-01-03 |
| 1659634145 | James Keene Brennan | Internal Medicine | 743 Eldorado Ave, Clearwater, FL 33767-1421 | 2012-06-19 |
| 1245779156 | Raymond Grey Grimm | Specialist | 741 Lantana Ave, Clearwater Beach, FL 33767-1427 | 2017-02-13 |
| Find all providers in zip 33767 | ||||
| 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 | 33767 |
Please comment or provide details below to improve the information on CLEARWATER BEACH SPA, INC..
| 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.