LISHA MYRANDA ESTES


Address: 1829 Edwards Rd, Southport, FL 32409-2403
Phone: 8508673304

LISHA MYRANDA ESTES (NPI# 1306499629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306499629
Entity Type Individual
Full Name LISHA MYRANDA ESTES
Credential LMT
Practice Address 1829 Edwards Rd
Southport
FL 32409-2403
Mailing Address 10720 Hutchison Blvd Ste B
Panama City Beach
FL 32407-3708
Practice Telephone 8508673304
Mailing Telephone 8502493988
Mailing Fax Number 8502158398
Enumeration Date 2019-07-17
Last Update Date 2019-07-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA90239 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL STATE LICENSE MA90239 01

Office Location

Street Address 1829 EDWARDS RD
City SOUTHPORT
State FL
Zip Code 32409-2403

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821278102 Brenda Louise Rosas Speech-Language Pathologist 12801 Merial Pass, Panama City, FL 32409 2007-11-05
1619416880 Med-trans Corporation Ambulance 550 Highway 2300, Southport, FL 32409-1293 2017-02-21
1184281982 Jason Glenn Boutwell Nurse Practitioner 7120 Caraway Ln, Southport, FL 32409-1605 2019-05-28
1588170534 Regina M Mcmillin Assistant Behavior Analyst 9315 Sandra Grace Rd, Southport, FL 32409-1834 2017-12-28
1811154784 Regina A Shirley Nurse's Aide 8822 Jeffery Rd, Southport, FL 32409-1885 2008-05-19
1114553328 Michele Lee Zelaya Registered Nurse 11830 Raccoon Rd, Panama City, FL 32409-2304 2020-03-19
1760572432 Cheryl G. Fitzgerald Social Worker 14240 Sand Pine Ln, Panama City, FL 32409-2559 2006-10-13
1427269836 Kathryn Mcgrath Counselor 13117 White Western Springs Rd, Southport, FL 32409-3557 2007-05-25
1215574025 Nadine Sue Pearish Nurse Practitioner 1906 Anna Lauren Dr, Southport, FL 32409-3567 2019-12-01
1659716652 Kelsi Jean Vinson Specialist/Technologist, Other 7318 Mary Jo Ave, Panama City, FL 32409-4162 2013-05-03
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801126552 Sabita Kanhai Massage Therapist 3519 Post Road, Southport, CT 06890 2009-12-31

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1811598204 Zenus Annzarie Goodyard Massage Therapist 3076 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3246 2020-11-03
1558962886 Felicia Warner Massage Therapist 2750 Cypress Trace Cir Apt 2620, Naples, FL 34119-8077 2020-11-03
1497355184 Ashley Feehan Massage Therapist 32806 Lister Rd, Dade City, FL 33523-6413 2020-10-30
1932709904 Franchesca Bairam Massage Therapist 206 37th Ave N, Saint Petersburg, FL 33704-1416 2020-10-29
1679173538 Benson Tong Massage Therapist 3530 1st Ave N Ste 206, Saint Petersburg, FL 33713-8442 2020-10-29
1801496989 Alivia L Mckamey Massage Therapist 533 Nw 28th St, Gainesville, FL 32607-2512 2020-10-28
1992305189 Julie Accorti Massage Therapist 36 Memorial Pkwy Sw, Fort Walton Beach, FL 32548-6512 2020-10-28
1487254785 Rigoberto Rosa Massage Therapist 51 Ne 24th St, Miami, FL 33137-5385 2020-10-27
1982204392 Cindy Figh Massage Therapist 11408 Coventry Grove Cir, Lithia, FL 33547-4929 2020-10-27
1639778152 Megan A Chapman Massage Therapist 1504 Ringmore Ct, Dover, FL 33527-4960 2020-10-26
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Competitor

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City SOUTHPORT
Zip Code 32409

Improve Information

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Dataset Information

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.

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