CANDISE NICHOLE HENDRICK (NPI# 1366915027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366915027 |
| Entity Type | Individual |
| Full Name | CANDISE NICHOLE HENDRICK |
| Credential | LMT |
| Practice Address |
6666 W Amarillo Blvd Unit 1 Amarillo TX 79106-1752 |
| Mailing Address |
5040 S Coulter St Apt 504 Amarillo TX 79119-5421 |
| Practice Telephone | 8064710826 |
| Mailing Telephone | 8064710826 |
| Enumeration Date | 2019-01-05 |
| Last Update Date | 2019-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT107055 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6666 W AMARILLO BLVD UNIT 1 |
| City | AMARILLO |
| State | TX |
| Zip Code | 79106-1752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679068357 | Gentri Armstrong | Massage Therapist | 6666 W Amarillo Blvd Unit 1, Amarillo, TX 79106-1752 | 2018-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773205 | Nisha Patel | Pharmacist | 1600 S Western Street, Amarillo, TX 79106 | 2020-09-01 |
| 1043851769 | Diana Moore | Pharmacist | 6010 Amarillo Blvd W (119), Amarillo, TX 79106 | 2019-10-03 |
| 1164988127 | Wade Family Services Pllc | Counselor | 1901 Medi Park Dr Suite 130, Amarillo, TX 79106 | 2019-02-14 |
| 1255802963 | Jennifer Cockrum | Hospitalist | Bsa Hospitalist, 1600 Wallace Blvd., Amarillo, TX 79106 | 2018-12-07 |
| 1346736691 | Denise Mills Donnell | Social Worker | 6010 Amarillo Bouldevard West Clc-b, Amarillo, TX 79106 | 2018-07-10 |
| 1124525472 | Abigail Batson | Student in an Organized Health Care Education/Training Program | 1400 S Coulter Street, Suite 1500, Amarillo, TX 79106 | 2018-04-11 |
| 1053812743 | Moc Amarillo, LLC | Skilled Nursing Facility | 1540 Research St., Amarillo, TX 79106 | 2018-02-27 |
| 1013459437 | Larry G. Schulz | Durable Medical Equipment & Medical Supplies | 1901 Medi Park Dr Ste 219, Amarillo, TX 79106 | 2016-11-16 |
| 1922453315 | Omar Saeed M Alzhrani | Student in an Organized Health Care Education/Training Program | 1400 S. Coulter - Suite 5100, Amarillo, TX 79106 | 2016-05-04 |
| 1972967529 | David Wayne Hohon | Internal Medicine | Bsa Physician Group, 1600 Wallace Blvd., Amarillo, TX 79106 | 2016-04-11 |
| Find all providers in zip 79106 | ||||
| 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 |
|---|---|---|---|---|
| 1083251318 | Raeann Mask | Massage Therapist | 3501 W. 45th St, Suite T, Amarillo, TX 79109 | 2019-12-05 |
| 1447893656 | Anita Diaz Trevino | Massage Therapist | 3323 Bell St Ste E, Amarillo, TX 79106-5031 | 2019-10-21 |
| 1225595846 | Charlotte Hallmark | Massage Therapist | 3438 S Western St, Amarillo, TX 79109-4438 | 2019-03-01 |
| 1356807580 | Jonathan D Saavedra | Massage Therapist | 2930 S Western St, Amarillo, TX 79109-3238 | 2019-02-12 |
| 1679068357 | Gentri Armstrong | Massage Therapist | 6666 W Amarillo Blvd Unit 1, Amarillo, TX 79106-1752 | 2018-06-26 |
| 1568979185 | David Geoffrey Rabson | Massage Therapist | 1901 Medi Park Dr Ste 1036, Amarillo, TX 79106-2108 | 2018-01-04 |
| 1295983682 | Lynn Robert Slaughter | Massage Therapist | 9201 Rj Dr, Amarillo, TX 79119-3883 | 2008-08-28 |
| 1023273802 | Susan Folker | Massage Therapist | 530 Sw 45th Ave, Amarillo, TX 79110-2113 | 2008-07-22 |
| 1285825109 | Earl Leonard Loar | Massage Therapist | 4005 Sw 50th Ave, Amarillo, TX 79109-6125 | 2007-08-06 |
| 1023139326 | Leslie Michelle Wagner | Massage Therapist | 2710 Civic Cir, Amarillo, TX 79109-1648 | 2007-04-03 |
| Find all providers in AMARILLO | ||||
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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.