JACLYN DAVIS (NPI# 1285937656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285937656 |
| Entity Type | Individual |
| Full Name | JACLYN DAVIS |
| Credential | LMT |
| Practice Address |
127 N Chestnut St Assumption IL 62510-1003 |
| Mailing Address |
127 N Chestnut St Po Box 61 Assumption IL 62510-1003 |
| Practice Telephone | 2172263335 |
| Mailing Telephone | 2172263335 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227.001409 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194375659 | Jaclyn Davis | Technician | 10526 Sw Otis Walden Rd, Clarksville, FL 32430-2665 | 2019-09-17 |
| 1477833176 | Jaclyn Michelle Davis | Psychologist | 1515 S Capital of Texas Hwy Ste 200, Austin, TX 78746-6544 | 2011-08-25 |
| 1366074395 | Jaclyn Davis | Community/Behavioral Health | 148 Warren St, Lowell, MA 01852-2208 | 2020-02-07 |
| 1194238717 | Jaclyn Marie Davis | Occupational Therapist | 267 Grant St, Bridgeport, CT 06610-2805 | 2017-11-06 |
| 1700237955 | Jaclyn Irene Davis | Pediatrics | Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 | 2016-06-29 |
| 1750682621 | Jaclyn A Davis | Counselor | 145 1st St, Fort Lupton, CO 80621-2002 | 2010-11-09 |
| 1346566551 | Jaclyn Leigh Davis | Emergency Medicine | 1000 Blythe Blvd, Charlotte, NC 28203-5812 | 2010-04-13 |
| 1578720686 | Jaclyn Carey Davis | Pediatrics | 1 Gustave L Levy Place, Box 1208, New York, NY 10029-6574 | 2008-05-19 |
| Street Address |
127 N CHESTNUT ST |
| City | ASSUMPTION |
| State | IL |
| Zip Code | 62510-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801363551 | Kemmerer Village Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 941 N. 2500 East Road, Assumption, IL 62510 | 2018-10-31 |
| 1114950169 | Apex Physical Therapy, LLC | Clinic/Center | 1004 E Illinois St., Assumption, IL 62510 | 2006-07-09 |
| 1811965239 | Kemmerer Village Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 941 N. 2500 East. Rd., Assumption, IL 62510 | 2006-03-10 |
| 1679757397 | Central A and M Community Unit | Local Education Agency (LEA) | 105 N College St, Assumption, IL 62510-1032 | 2007-12-18 |
| 1972015667 | Courtney Lynn Rowcliffe | Speech-Language Pathologist | 105 N College St, Assumption, IL 62510-1032 | 2017-11-02 |
| 1043366370 | Assumption Fire Protection District | Ambulance | 217 N Chestnut St, Assumption, IL 62510-1071 | 2007-01-27 |
| 1396106910 | Pana Community Hospital Association | Family Medicine | 118 N. Walnut, Assumption, IL 62510-1082 | 2016-03-09 |
| 1326138249 | Metzger Health Care Pharmacy | Pharmacy | 118 N Walnut St, Assumption, IL 62510-1082 | 2006-10-13 |
| 1760932248 | Pana Community Hospital Association | Clinic/Center | 118 N Walnut St, Assumption, IL 62510-1082 | 2016-10-10 |
| 1487843959 | Pana Community Hospital Association | Family Medicine | 118 N Walnut St, Assumption, IL 62510-1082 | 2007-10-19 |
| Find all providers in zip 62510 | ||||
| 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 |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1497354104 | Lola Sanders | Massage Therapist | 844 Wilshire Dr, Belleville, IL 62223-2623 | 2020-10-22 |
| 1003415001 | Amanda L Klimczak | Massage Therapist | 1231 Ridgeland Ave, Berwyn, IL 60402-1142 | 2020-10-21 |
| 1093314148 | Jody Lee Hazel | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
| 1194323352 | Vanina Barnett | Massage Therapist | 112 Sussex Cir, Schaumburg, IL 60193-1835 | 2020-10-10 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1407463029 | Danielle Wright | Massage Therapist | 132 S Water St Ste 430, Decatur, IL 62523-2305 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1780291872 | Jennifer Marshall | Massage Therapist | 6920 W 110th St, Worth, IL 60482-1425 | 2020-09-23 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | ASSUMPTION |
| Zip Code | 62510 |
Please comment or provide details below to improve the information on JACLYN DAVIS.
| 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.