DARBY WYATT (NPI# 1316138357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316138357 |
| Entity Type | Individual |
| Full Name | DARBY WYATT |
| Credential | LMT |
| Practice Address |
1771 W State Road 434 Longwood FL 32750-5067 |
| Mailing Address |
180 Waterfall Way Unit 204 Altamonte Springs FL 32714-6864 |
| Practice Telephone | 4076209074 |
| Mailing Telephone | 4076209074 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA0026086 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1771 W STATE ROAD 434 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32750-5067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420920 | Prn Speech Pathologists | Speech-Language Pathologist | 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 | 2020-06-05 |
| 1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
| 1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
| 1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
| 1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
| Find all providers in zip 32750 | ||||
| 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 |
|---|---|---|---|---|
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1730520305 | Taylor Shea Keyser | Massage Therapist | 2137 West State Road 434, Marc Irwin Sharfman Md Pa / Dba: Headache and Neurologi, Longwood, FL 32779 | 2013-07-11 |
| 1659627842 | Megan Desiree Argroves | Massage Therapist | 293 E Marvin Ave, Longwood, FL 32750-5417 | 2012-07-25 |
| 1437426558 | Jason Floyd Sutherland | Massage Therapist | 2009 Longwood Lake Mary Rd, Suite 1001, Longwood, FL 32750-3512 | 2011-11-17 |
| 1326287749 | Yesenia Gorzon | Massage Therapist | 477 Homer Ave, Longwood, FL 32750-6722 | 2009-02-09 |
| 1518117225 | Johnson Blaise | Massage Therapist | 2648 W Sr 434, Suite C, Longwood, FL 32779-4440 | 2008-09-30 |
| 1639337694 | Maryanne Palumbo | Massage Therapist | 1855 W St Rd 434, Ste 253, Longwood, FL 32750 | 2008-05-27 |
| 1831362334 | Betsy R Batwin | Massage Therapist | 478 Wekiva Cove Rd, Longwood, FL 32779-5665 | 2008-04-07 |
| 1851576052 | Donny Moon | Massage Therapist | 2648 W State Road 434, Suite C, Longwood, FL 32779-4440 | 2008-01-07 |
| 1194938985 | Jennifer Lee Sanmiguel | Massage Therapist | 211 W Bay Ave Apt C, Longwood, FL 32750-4102 | 2007-05-08 |
| Find all providers in LONGWOOD | ||||
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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.