SCOTT WALDREP (NPI# 1265977110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265977110 |
| Entity Type | Individual |
| Full Name | SCOTT WALDREP |
| Credential | LMT |
| Practice Address |
33300 Egypt Ln Suite I-120 Magnolia TX 77354-2739 |
| Practice Telephone | 7134539396 |
| Mailing Telephone | 7134539396 |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2017-01-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT119479 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
33300 EGYPT LN SUITE I-120 |
| City | MAGNOLIA |
| State | TX |
| Zip Code | 77354-2739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043385115 | Sunshine Primary Care Pa | Family Medicine | 33300 Egypt Ln, Suite A400, Magnolia, TX 77354-2739 | 2006-11-22 |
| 1982077822 | Suzanne Waldrep | Massage Therapist | 33300 Egypt Ln, Suite I-120, Magnolia, TX 77354-2739 | 2015-10-31 |
| 1487881595 | Complete Nurse Solutions, LLC | Home Health | 33300 Egypt Ln, Suite L-800, Magnolia, TX 77354-2739 | 2009-06-16 |
| 1063692267 | Nancy L Foreman & Assoc | Speech-Language Pathologist | 33300 Egypt Ln, Suite A-300, Magnolia, TX 77354-2739 | 2007-11-06 |
| 1851429666 | Horizon Speech Center, Inc | Speech-Language Pathologist | 33300 Egypt Ln, Suite A-300, Magnolia, TX 77354-2739 | 2007-03-01 |
| 1306974720 | Emily Mcintosh | Speech-Language Pathologist | 33300 Egypt Ln, Suite A-300, Magnolia, TX 77354-2739 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225646771 | Alex Chu | Dentist | 4849 Farm To Market Rd 1488, Suite #800, Magnolia, TX 77354 | 2020-07-21 |
| 1548886948 | Alexander M Beltran | Dentist | 18640 Farm To Market Rd 1488, Suite I, Magnolia, TX 77354 | 2020-06-22 |
| 1710524079 | Keegen Jonelle Barboo | Physician Assistant | 6022 Farm To Market Rd, 1488, Magnolia, TX 77354 | 2019-12-05 |
| 1467097931 | Select Physical Therapy Texas Limited Partnership | Clinic/Center | 5667 Fm 1488, Magnolia, TX 77354 | 2019-11-08 |
| 1942854583 | Mava Healthcare System LLC | Clinic/Center | 18230 Fm 1488 Suite 201, Magnolia, TN 77354 | 2019-08-01 |
| 1861909855 | Hays Nichols | Physical Therapy Assistant | Grand Estates 30000 Fm 2978, Apt 532, Magnolia, TX 77354 | 2017-12-29 |
| 1417492620 | Yos Healthcare Services Inc | Home Health | 15 Springtime Creek Dr., The Woodlands, TX 77354 | 2016-12-23 |
| 1205210929 | Kenneth Kim | Dentist | 6519 Fm 1488, Westwood Village, #505, Magnolia, TX 77354 | 2015-07-13 |
| 1861813438 | Sandstone Chiropractic Magnolia, Pllc | Chiropractor | 6875 Fm 1488, Suite 1300, Magnolla, TX 77354 | 2013-12-26 |
| 1467897447 | America's Er Site 001, LLC | Clinic/Center | 32784 Fm 2978, Suite A, Magnolia, TX 77354 | 2013-05-06 |
| Find all providers in zip 77354 | ||||
| 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 |
|---|---|---|---|---|
| 1730484668 | Cynthia Ann Aubin | Massage Therapist | 20072 Forestview Dr, Magnolia, TX 77355 | 2011-01-25 |
| 1518195528 | Jer'rell Garth Hunt Jr. | Massage Therapist | 32823 Fm 2978 Rd, Magnolia, TX 77354-6060 | 2009-06-29 |
| 1982077822 | Suzanne Waldrep | Massage Therapist | 33300 Egypt Ln, Suite I-120, Magnolia, TX 77354-2739 | 2015-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215743 | Stephanie S Bell | Massage Therapist | 5415 Parry Ave, Dallas, TX 75223-1856 | 2020-11-07 |
| 1437750239 | Vincent Trinh | Massage Therapist | 8219 La Roche Ln, Houston, TX 77036-7305 | 2020-11-06 |
| 1295336691 | Emily Burris | Massage Therapist | 1202 Juniper, Princeton, TX 75407-2867 | 2020-11-03 |
| 1790386043 | Julian Denman | Massage Therapist | 4009 Victory Dr Apt C311, Austin, TX 78704-7588 | 2020-11-03 |
| 1154922474 | Shavana Williams | Massage Therapist | 3787 Perrin Central Blvd Apt 927, San Antonio, TX 78217-2822 | 2020-11-03 |
| 1821698960 | Whivolyn Thomas | Massage Therapist | 3939 Synott Rd Apt 402, Houston, TX 77082-5231 | 2020-10-28 |
| 1790385730 | Beatriz Y Ogarek | Massage Therapist | 9945 Barker Cypress Rd Ste 200, Cypress, TX 77433-5319 | 2020-10-28 |
| 1598364002 | Angelique Bella | Massage Therapist | 2832 Rush Creek Rd, Mckinney, TX 75072-7224 | 2020-10-26 |
| 1770182255 | Tyana Washington | Massage Therapist | 1018 Port Neches Dr, Little Elm, TX 75068-5935 | 2020-10-26 |
| 1235738717 | Daniel Peterson | Massage Therapist | 5800 Brodie Ln Apt 216, Austin, TX 78745-2530 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SCOTT WALDREP.
| 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.