ANNA KUDICK (NPI# 1255966008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255966008 |
Entity Type | Individual |
Full Name | ANNA KUDICK |
Credential | LMT |
Practice Address |
1005 Eastern Ave Plymouth WI 53073-1920 |
Mailing Address |
2202 Division St Manitowoc WI 54220-6028 |
Practice Telephone | 9204194727 |
Enumeration Date | 2020-03-11 |
Last Update Date | 2020-03-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 10617-146 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1005 EASTERN AVE |
City | PLYMOUTH |
State | WI |
Zip Code | 53073-1920 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114002714 | Daniel Joseph Francis | Chiropractor | 1005 Eastern Ave, Plymouth, WI 53073-1920 | 2006-10-25 |
1629138169 | Francis Chiropractic Clinic Sc | Chiropractor | 1005 Eastern Ave, Plymouth, WI 53073-1920 | 2006-12-12 |
1780761999 | Jean Marie Francis | Chiropractor | 1005 Eastern Ave, Plymouth, WI 53073-1920 | 2006-11-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245889914 | Patricia M. Stone | Technician | 440 Stoneybrook Lane, Plymouth, WI 53073 | 2019-09-05 |
1801387501 | Kwon Yang | Dentist | W 9071 Forest Drive, Plymouth, WI 53073 | 2018-05-29 |
1396258752 | Advanced Dental Care Clinic Sc | Clinic/Center | 62 S Pleasant View Road, Plymouth, WI 53073 | 2017-11-08 |
1164888004 | Lukresse Tatiana Kouam Tchuendem | Registered Nurse | 236 N Milwaukee St, Plymoth, WI 53073 | 2016-01-07 |
1831447424 | Lori Ann Schuette | Registered Nurse | 406 Summit Street, Plymouth, WI 53073 | 2012-08-29 |
1821360967 | Kristine Marie Van Ess | Case Manager/Care Coordinator | 7135 Rocky Knoll Pkwy, Plymouth, WI 53073 | 2012-02-06 |
1750699708 | Shannon Diamond | Physical Therapist | 825 Walton Drive, Plymouth, WI 53073 | 2010-09-23 |
1306088265 | Lacey Lyn Schafer | Nurse Practitioner | W9071 Forest Dr, Plymouth, WI 53073 | 2009-03-24 |
1275780868 | Stella D. Kaas-lallensack | Occupational Therapist | W5774 Garton Rd, Plymouth, WI 53073 | 2008-08-26 |
1912172248 | Judith A Nelson | Registered Nurse | N7116 County Road E, Plymouth, WI 53073 | 2008-04-28 |
Find all providers in zip 53073 |
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 |
---|---|---|---|---|
1871141523 | Gregory Zilberg | Massage Therapist | 14190 55th Pl N, Plymouth, MN 55446-2018 | 2019-08-27 |
1104308014 | Shannon Lynn Smith | Massage Therapist | 15131 Northville Rd, Plymouth, MI 48170-2548 | 2018-09-06 |
1346769098 | Diane Elizabeth Kuzara | Massage Therapist | 496 W. Ann Arbor Trail, Suite 104, Plymouth, MI 48170 | 2017-09-13 |
1285173120 | Michele Sims | Massage Therapist | 168 Court St Ste 4, Plymouth, MA 02360-4036 | 2017-02-13 |
1942611827 | Corrine Foster | Massage Therapist | 130 E Liberty St, Plymouth, MI 48170 | 2014-05-14 |
1447661624 | Nicole Eskola | Massage Therapist | 2000 Merrimac Ln N, Suite 201, Plymouth, MN 55447-4698 | 2014-05-09 |
1558705384 | Eve Chantelle Burnham | Massage Therapist | 5105 Norwood Ln N, Plymouth, MN 55442-2069 | 2013-04-23 |
1154676526 | Betty Jane Brykell | Massage Therapist | 9117 Marc Trl, Plymouth, MI 48170-3946 | 2012-07-20 |
1972867257 | Shelby Maclary | Massage Therapist | 7 S Park Ave, Plymouth, MA 02360-3831 | 2012-07-01 |
1326305780 | Nawal Therese Thompson | Massage Therapist | 2000 Merrimac Ln N Ste 201, Plymouth, MN 55447-4698 | 2012-04-23 |
Find all providers in PLYMOUTH |
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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.