MRS. TERESA MARIE RADCLIFFE (NPI# 1316203847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316203847 |
| Entity Type | Individual |
| Full Name | MRS. TERESA MARIE RADCLIFFE |
| Other Name | TERESA MARIE KOSTUK |
| Credential | L.M.T |
| Practice Address |
206 West Broadway Blair WI 54616 |
| Mailing Address |
P.o. Box 306 Blair WI 54616 |
| Practice Telephone | 6089892272 |
| Practice Fax Number | 6089892272 |
| Mailing Telephone | 6089892272 |
| Mailing Fax Number | 6089892272 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 10711-146 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992078810 | Teresa Radcliffe | Occupational Therapist | 3131 Amherst Ave, Butte, MT 59701-4653 | 2012-02-23 |
| Street Address |
206 WEST BROADWAY |
| City | BLAIR |
| State | WI |
| Zip Code | 54616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841845385 | Planned Parenthood of Wisconsin | Non-Pharmacy Dispensing Site | 223 South Main St., Blair, WI 54616 | 2019-08-01 |
| 1790020105 | Rachel Ann Solberg | Pharmacist | 125 West Broadway, Blair, WI 54616 | 2012-12-11 |
| 1336312313 | School District of Blair Taylor | Case Management | 219 S Main, Blair, WI 54616 | 2008-04-10 |
| 1326170267 | County of Trempealeau | Custodial Care Facility | W17306 Arneson Ridge Rd., Blair, WI 54616 | 2007-03-09 |
| 1730215393 | Cv Smith Sc | Dentist | 217 E 4th Street, Blair, WI 54616 | 2007-02-26 |
| 1366456709 | Blair Chiropractic Center, LLC | Chiropractor | 237 W. Broadway, Blair, WI 54616 | 2006-07-29 |
| 1659372977 | Grand View Home Inc | Skilled Nursing Facility | 620 Grand View Ave, Blair, WI 54616 | 2005-08-09 |
| 1891044103 | Lori Eddy | Occupational Therapy Assistant | 620 Grand View Ave, Blair, WI 54616 | 2012-08-31 |
| 1992984157 | Catherine W. Robertson | Physical Therapist | 104 N. Gilbert St., Blair, WI 54616-0047 | 2007-10-24 |
| 1740203553 | Charles V Smith | Dentist | 217 E. 4th St, Blair, WI 54616-0816 | 2006-07-25 |
| Find all providers in zip 54616 | ||||
| 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 |
|---|---|---|---|---|
| 1801321955 | Kathy Fahs Timmins | Massage Therapist | 1729 Washington St, Blair, NE 68008-1501 | 2017-04-26 |
| 1386175438 | Ronald Beaman | Massage Therapist | 636 N 20th Ave, Blair, NE 68008-1116 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749548 | Cindy Ann Pinnow | Massage Therapist | 443 W Main St, Waukesha, WI 53186-4612 | 2020-10-27 |
| 1114526068 | Berevon Tayshawn Wyatt | Massage Therapist | 3510 N Oakland Ave Ste 206, Milwaukee, WI 53211-2746 | 2020-10-21 |
| 1881292035 | Chrysta Beyer | Massage Therapist | 117 W Good Hope Rd, Glendale, WI 53217-3857 | 2020-10-10 |
| 1861099608 | Kaitlin Gelbmann | Massage Therapist | 920 W City Highway 16 Ste A, West Salem, WI 54669-1952 | 2020-10-05 |
| 1447867346 | Evolve Massage LLC | Massage Therapist | 1777 W Main St Ste 106, Sun Prairie, WI 53590-3100 | 2020-09-25 |
| 1174139646 | Rachel Plowman | Massage Therapist | 2911 Blue Aster Blvd, Sun Prairie, WI 53590-4691 | 2020-09-21 |
| 1003422569 | Reeyanana Salet Cha | Massage Therapist | 12201 W Burleigh St Ste 6, Wauwatosa, WI 53222-3102 | 2020-09-21 |
| 1659986453 | Kristin Allie Costello | Massage Therapist | S31w24757 W Sunset Dr, Waukesha, WI 53189-7014 | 2020-09-09 |
| 1073124376 | Maria Victoria Gutierrez | Massage Therapist | 2702 Monroe St Ste 110, Madison, WI 53711-1896 | 2020-08-11 |
| 1699393082 | Laura Lynn Leyh | Massage Therapist | 1907 American Dr Ste B3, Neenah, WI 54956-1236 | 2020-07-11 |
| Find all providers with the same taxonomy | ||||
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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.