STEPHEN WILSON (NPI# 1326580556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326580556 |
| Entity Type | Individual |
| Full Name | STEPHEN WILSON |
| Credential | NST, LMT |
| Practice Address |
1600 University Ave W Ste 10 Saint Paul MN 55104-3898 |
| Practice Telephone | 6516467246 |
| Mailing Telephone | 6516467246 |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2016-11-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 20130002985 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447600358 | Stephen Wilson | Occupational Therapy Assistant | 5195 Buyserie Rd Ne, Saint Paul, OR 97137-9707 | 2016-06-21 |
| 1922366020 | Stephen James Wilson | Obstetrics & Gynecology | 1738 Citron St, #er, Honolulu, HI 96826-2571 | 2012-04-25 |
| 1710018494 | Stephen James Wilson | Dentist | 729 Cedar St, Garberville, CA 95542-3201 | 2007-03-07 |
| 1760513451 | Stephen L Wilson | Specialist | 1015 S Henderson St, Ft Worth, TX 76104-2924 | 2007-03-07 |
| 1144313842 | Stephen Lloyd Wilson | Chiropractor | 1412 N Broadway, Ste 206, Lexington, KY 40505-3157 | 2006-10-02 |
| 1144324203 | Stephen Jay Wilson | Psychiatry & Neurology | 4165 Thousand Oaks Blvd #345, Westlake Village, CA 91362 | 2006-09-11 |
| 1902810914 | Stephen Charles Wilson | Surgery | 130 Cedar Rd # 350, Vista, CA 92083-5102 | 2006-07-27 |
| 1699739292 | Stephen A Wilson | Specialist | 1851 Napa Ct, Fremont, CA 94539-6016 | 2006-04-12 |
| 1891771366 | Stephen B Wilson | Dentist | 3515 Dallas Hwy Sw Ste B, Marietta, GA 30064-2095 | 2005-12-16 |
| 1255323630 | Stephen Wesley Wilson | Nurse Anesthetist, Certified Registered | 10751 Falls Rd, Suite 425, Lutherville, MD 21093-4517 | 2005-08-22 |
| Street Address |
1600 UNIVERSITY AVE W STE 10 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55104-3898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205886561 | Candyce Ann Powell | Physical Therapist | 1600 University Ave W Ste 10, Saint Paul, MN 55104-3898 | 2006-05-10 |
| 1487294401 | Impact Physical Medicine of St. Paul | Physical Medicine & Rehabilitation | 1600 University Ave W Ste 10, Saint Paul, MN 55104-3898 | 2020-01-07 |
| 1134636921 | Brian Jeffrey Jackson | Orthotist | 1600 University Ave W Ste 10, Saint Paul, MN 55104-3898 | 2018-01-03 |
| 1124572862 | Cynthia Jane Mueller | Occupational Therapist | 1600 University Ave W Ste 10, Saint Paul, MN 55104-3898 | 2016-08-11 |
| 1689021586 | Impact Physical Medicine | Clinic/Center | 1600 University Ave W Ste 10, Saint Paul, MN 55104-3898 | 2016-05-20 |
| 1144417668 | Elizabeth Ann Mayotte | Occupational Therapist | 1600 University Ave W Ste 10, Impact Physical Medicine, Saint Paul, MN 55104-3898 | 2007-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891339131 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 1600 University Ave West, Suite 12, Room P, Saint Paul, MN 55104 | 2019-10-30 |
| 1629541644 | Michael P Cain | Counselor | 1821 University Ave West, Suite N385, St. Paul, MN 55104 | 2019-01-03 |
| 1295219657 | Awaken Recovery Center L.l.c | Counselor | 400 Suite D 393 North Dunlap, St Paul, MN 55104 | 2018-09-21 |
| 1285115634 | American Current Care of Minnesota PC | Clinic/Center | 570 Asbury St Ste 101, Saint Paul, MN 55104 | 2018-08-23 |
| 1699262501 | B & M Vital Homecare LLC. | Home Health | 1821 University Ave., W., Ste #s334, St. Paul, MN 55104 | 2018-04-16 |
| 1134621600 | Lauren Fullerton | Counselor | 1821 University Ave W., Suite N385, St. Paul, MN 55104 | 2018-03-01 |
| 1265944672 | Megan Manning | Marriage & Family Therapist | 475 Cleveland Ave. N., Suite 316, St. Paul, MN 55104 | 2017-10-26 |
| 1801305131 | Foncham Buma Foncham | Registered Nurse | 856 University Avenue, W, St. Paul, MN 55104 | 2017-09-29 |
| 1750802476 | Ha Vo | Counselor | 451 Lexington Parkway North, St. Paul, MN 55104 | 2017-07-03 |
| 1952831026 | Noble Senior Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1094 University Ave W, Saint Paul, MN 55104 | 2017-06-12 |
| Find all providers in zip 55104 | ||||
| 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 |
|---|---|---|---|---|
| 1447859467 | Amdemichael Retta | Massage Therapist | 1260 Larpenteur Ave W Apt 320, Saint Paul, MN 55113-6324 | 2020-10-21 |
| 1285247932 | Root and Branch LLC | Massage Therapist | 965 Payne Ave, Saint Paul, MN 55130-4194 | 2020-08-24 |
| 1740837855 | Paulette M Wisnom | Massage Therapist | 600 University Ave W Ste 10, Saint Paul, MN 55103-1939 | 2019-08-22 |
| 1942766068 | Katrina Jean Cordes | Massage Therapist | 2550 University Ave W # 244south, Saint Paul, MN 55114-1052 | 2019-02-13 |
| 1649746199 | Peter Cairns | Massage Therapist | 1894 Summit Ave, Saint Paul, MN 55105-1427 | 2018-10-22 |
| 1801391941 | Center for Integrative Massage, LLC | Massage Therapist | 1053 Grand Ave Ste 113, Saint Paul, MN 55105-3074 | 2018-03-29 |
| 1699215319 | Ryan M Herst | Massage Therapist | 1445 Jessamine Ave W, Apt 307, Saint Paul, MN 55108-2684 | 2017-02-28 |
| 1669911913 | Amy Yang | Massage Therapist | 78 Magnolia Ave West, Saint Paul, MN 55117-4913 | 2017-02-20 |
| 1831555663 | April Aegerter | Massage Therapist | 764 Lexington Pkwy N, Saint Paul, MN 55104-1435 | 2016-01-09 |
| 1124423314 | Julie Hartmans | Massage Therapist | 693 Wilson Ave Apt 3, Saint Paul, MN 55106-6638 | 2014-10-30 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55104 |
Please comment or provide details below to improve the information on STEPHEN WILSON.
| 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.