JASON SPOON (NPI# 1366853061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366853061 |
| Entity Type | Individual |
| Full Name | JASON SPOON |
| Credential | LMT, MMP |
| Practice Address |
2107 Hickory Springs Rd Johnson City TN 37604-7702 |
| Practice Telephone | 4232780387 |
| Mailing Telephone | 4232780387 |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0000010372 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2107 HICKORY SPRINGS RD |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-7702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| 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 |
|---|---|---|---|---|
| 1689295644 | Cheryl V Merriken | Massage Therapist | 530 Gray Station Rd, Johnson City, TN 37615-3108 | 2020-04-30 |
| 1467817643 | Power of Touch Massage & Bodywork | Massage Therapist | 2831 E Oakland Ave Ste 6, Johnson City, TN 37601-1300 | 2015-12-15 |
| 1023429172 | Peggy Lucille Heatherly | Massage Therapist | 708 E Unaka Ave, Suite 3, Johnson City, TN 37601-4128 | 2014-05-12 |
| 1497165971 | Deborah Swaner | Massage Therapist | 4114 Bradford Ln, Johnson City, TN 37601-1065 | 2014-05-05 |
| 1184870768 | Craig W Roberts | Massage Therapist | 2260 N Roan St, Johnson City, TN 37601-2527 | 2008-08-14 |
| 1790193670 | Barbara Dray | Massage Therapist | 2831 E Oakland Ave, Johnson City, TN 37601-1300 | 2014-07-23 |
| 1477963130 | Michelle Byrd | Massage Therapist | 302 Sunset Dr, #105, Johnson City, TN 37604-2408 | 2014-05-04 |
| 1447560909 | Siobhan Meagan Lane | Massage Therapist | 365 Harry L Dr, Ste. C and D, Johnson City, NY 13790-1471 | 2010-10-18 |
| 1376874883 | Dru Katherine Herring | Massage Therapist | 917 W Walnut St, Johnson City, TN 37604-6527 | 2010-01-22 |
| 1174765820 | Sharon D Baines | Massage Therapist | 3915 Bristol Hwy, Suite 301, Johnson City, TN 37601-1400 | 2009-03-27 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on JASON SPOON.
| 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.