EPIPHANY MASSAGE THERAPY, INC (NPI# 1326661596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326661596 |
| Entity Type | Organization |
| Organization Name | EPIPHANY MASSAGE THERAPY, INC |
| Practice Address |
303 E Stroop Rd Dayton OH 45429-2827 |
| Practice Telephone | 9379491144 |
| Mailing Telephone | 9379491144 |
| Enumeration Date | 2020-05-22 |
| Last Update Date | 2020-05-22 |
| Authorized Official Name | CARMEN ROCHELLE BOONE (OWNER/LMT) |
| Authorized Official Telephone | 9379491144 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
303 E STROOP RD |
| City | DAYTON |
| State | OH |
| Zip Code | 45429-2827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821576414 | Lauren Danielle Sivley | Nurse Practitioner | 3535 Sourthern Boulevard, Kettering, OH 45429 | 2018-08-06 |
| 1114446127 | Louai Al-samkari | Chiropractor | 1441 E. Stroop Rd., Kettering, OH 45429 | 2017-09-12 |
| 1407373756 | Benjamin Edward Adkins | Specialist/Technologist | 4116 Vinita Dr., Kettering, OH 45429 | 2017-08-28 |
| 1972036341 | James Kim | Student in an Organized Health Care Education/Training Program | 3535 Southern Boulevard, Kettering, OH 45429 | 2017-04-04 |
| 1023549847 | Adrienne Krysiak | Emergency Medicine | 3525 Southern Boulevard, Kettering, OH 45429 | 2017-03-23 |
| 1386021889 | Cassandra Mckoy | Counselor | 529 East Stroop Road, Kettering, OH 45429 | 2015-05-04 |
| 1417343088 | Candace Benoit | Obstetrics & Gynecology | 3533 Southern Blvd Ste 4600, Dayton, OH 45429 | 2015-04-10 |
| 1275933574 | Lee Schwieterman | Nurse Practitioner | 3535 Southern Blvd., 1 East, Kettering, OH 45429 | 2014-08-25 |
| 1497161947 | Robert Jonathon Fresch Jr. | Obstetrics & Gynecology | 3533 Southern Blvd Ste 3750, Kettering, OH 45429 | 2014-07-05 |
| 1821349812 | Lucas Brewer | Counselor | 1524 E Stroop Rd Ste 300, Kettering, OH 45429 | 2012-10-01 |
| Find all providers in zip 45429 | ||||
| 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 |
|---|---|---|---|---|
| 1114528296 | James Aaron Brooks | Massage Therapist | 806 Picket Pl, Dayton, OH 45433-1325 | 2020-11-04 |
| 1083228662 | Daniele Dixon | Massage Therapist | 4316 Forest Ridge Blvd, Dayton, OH 45424-4487 | 2020-09-01 |
| 1891323481 | Medical Massage Associates LLC | Massage Therapist | 7 Southmoor Circle Nw, Dayton, OH 45429-2417 | 2020-03-30 |
| 1902430150 | Anthony James Dates | Massage Therapist | 4036 Quail Bush Dr, Dayton, OH 45424-4740 | 2020-02-26 |
| 1033682422 | Sarah Ardella Speciale | Massage Therapist | 7045 Corporate Way Ste C, Dayton, OH 45459-4200 | 2019-01-08 |
| 1720583677 | Toshia Mccormick | Massage Therapist | 3712 Wilmington Pike, Dayton, OH 45429-4845 | 2018-03-23 |
| 1164926408 | Molly Blackshear | Massage Therapist | 1 Elizabeth Pl # 280, Dayton, OH 45417-3445 | 2018-03-21 |
| 1710414677 | Brigitte Kaylin Renee Salyer | Massage Therapist | 1 Elizabeth Pl Ste 280, Dayton, OH 45417-3445 | 2017-05-22 |
| 1548533250 | Kathleen A Webb | Massage Therapist | 10 Clove Ct, Dayton, NJ 08810-1626 | 2012-02-13 |
| 1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
| Find all providers in DAYTON | ||||
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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.