GARY WATSON (NPI# 1265899975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265899975 |
| Entity Type | Individual |
| Full Name | GARY WATSON |
| Practice Address |
11034 N 55th Ave Glendale AZ 85304-3934 |
| Practice Telephone | 6025102989 |
| Mailing Telephone | 6025102989 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT-10582 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639425747 | Gary W Watson | Social Worker | 975 Spaulding Ave Ste D., Ada, MI 49301 | 2012-07-25 |
| 1073626735 | Gary Wayne Watson | Internal Medicine | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2006-08-16 |
| 1376587006 | Gary Ray Watson | Specialist | 2020 Coffee Rd, Suite B-5, Modesto, CA 95355-2427 | 2006-06-15 |
| Street Address |
11034 N 55TH AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85304-3934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254027 | J & B Assisted Living, Inc. D/b/a J & B Behavioral Health II | Substance Abuse Rehabilitation Facility | 6613 W. Pershing Avenue, Glendale, AZ 85304 | 2020-08-07 |
| 1194214015 | Vema Corporation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4309 W Corrine Dr, Glendale, AZ 85304 | 2018-05-07 |
| 1962929224 | Glendale Surgery Center | Clinic/Center | 11851 North 51st Ave, Suite G, Glendale, AZ 85304 | 2017-08-28 |
| 1073941092 | Megan Lorenzen | Occupational Therapist | 5834 W. Bloomfield Rd., Glendale, AZ 85304 | 2013-10-30 |
| 1396178380 | Danielle Marie Wiles | Registered Nurse | 12901 W. 63rd Avenue, Glendale, AZ 85304 | 2013-08-14 |
| 1780017848 | Pedram Nazari | Pharmacist | 4811 North 83rd Avenue, Glendale, AZ 85304 | 2013-08-13 |
| 1740558022 | Krunal Patel | Obstetrics & Gynecology | 5605 W Eugie Ave Ste 111, Glendale, AZ 85304 | 2011-12-01 |
| 1730499609 | Laura A Truax | Physician Assistant | 11851 N. 51st Ave, Ste F-110, Glendale, AZ 85304 | 2010-10-13 |
| 1760698419 | Suhir Bitar | Pediatrics | 13625 N 59th Ave, Glendale, AZ 85304 | 2007-05-16 |
| 1497967293 | Pam Rubbone | Psychologist | 4650 West Sweetwater Ave., Glendale, AZ 85304 | 2007-05-04 |
| Find all providers in zip 85304 | ||||
| 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 |
|---|---|---|---|---|
| 1124628920 | Angelina Hull | Massage Therapist | 4318 W Kimberly Way, Glendale, AZ 85308-4411 | 2020-10-29 |
| 1881292035 | Chrysta Beyer | Massage Therapist | 117 W Good Hope Rd, Glendale, WI 53217-3857 | 2020-10-10 |
| 1407461403 | Netthip Kunkaew | Massage Therapist | 920 Avonoak Ter, Glendale, CA 91206-1509 | 2020-09-15 |
| 1932694213 | Michelle Anderson | Massage Therapist | 3460 Ocean View Blvd Ste B, Glendale, CA 91208-3306 | 2018-06-28 |
| 1174020440 | Kelly Marie Kolb | Massage Therapist | 6615 W Happy Valley Rd Ste B108, Glendale, AZ 85310-2608 | 2018-04-12 |
| 1851895957 | Bethanie Dawn Freshour | Massage Therapist | 4360 W Thunderbird Rd, Glendale, AZ 85306-5027 | 2018-03-22 |
| 1184126062 | Mary A Bocchicchio | Massage Therapist | 5156 W Olive Ave # 404, Glendale, AZ 85302-4205 | 2018-03-06 |
| 1508384520 | Amanda K Ong | Massage Therapist | 5334 W Northern Ave Ste 325, Glendale, AZ 85301-1441 | 2017-08-30 |
| 1619490802 | Danielle Marie Hicks | Massage Therapist | 20325 N 51st Ave Ste 108, Glendale, AZ 85308-5665 | 2017-07-20 |
| 1780036285 | Donn Belrichard | Massage Therapist | 6610 N 47th Ave Ste 5, Glendale, AZ 85301-4163 | 2016-07-07 |
| Find all providers in GLENDALE | ||||
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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.