JENNIFER DIETZ (NPI# 1376007179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376007179 |
Entity Type | Individual |
Full Name | JENNIFER DIETZ |
Credential | LMT |
Practice Address |
2356 Route 44 55 Ste F Gardiner NY 12525-5335 |
Mailing Address |
95 Tuthilltown Rd Gardiner NY 12525-5514 |
Practice Telephone | 8455901298 |
Mailing Telephone | 8455901298 |
Enumeration Date | 2019-01-25 |
Last Update Date | 2019-01-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 030324-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093258428 | Jennifer Dietz | Massage Therapist | 2115 Trillium St, Eugene, OR 97405-1378 | 2016-12-03 |
1275511891 | Jennifer Dietz | Physical Therapist | 39 Cinema Blvd, Leominster, MA 01453-3290 | 2006-01-04 |
1184113474 | Jennifer Dietz | Behavioral Analyst | 3104 Delta Fair Blvd, Antioch, CA 94509-4001 | 2018-05-02 |
1790917979 | Jennifer Haymore Dietz | Dietitian, Registered | 625 Piney Forest Rd, Suite 306d, Danville, VA 24540-2867 | 2009-08-20 |
1700074473 | Jennifer Dietz | Occupational Therapist | 4801 Springfield St, Dayton, OH 45431-1084 | 2007-10-09 |
Street Address |
2356 ROUTE 44 55 STE F |
City | GARDINER |
State | NY |
Zip Code | 12525-5335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508353608 | Michael Thomas Paff | Psychologist | 35 Dusinberre Road, Gardiner, NY 12525 | 2018-04-16 |
1093230989 | Charles Lee Travis II | Taxi | 118 Modena Country Clb, Gardiner, NY 12525 | 2017-08-11 |
1205908704 | Seth Peyser | Chiropractor | 2534 Rt 44 55, Gardiner, NY 12525 | 2006-11-14 |
1649425190 | Patricia Jean Gorman | Social Worker | 119 Main Street, 2nd Floor, Gardiner, NY 12525 | 2008-11-25 |
1821463019 | Reagan Murphy | Counselor | 1048 N Mountain Rd, Gardiner, NY 12525-5010 | 2015-12-14 |
1508091869 | Sandra Ann O'connor | Registered Nurse | 43 Lyons Rd, Gardiner, NY 12525-5055 | 2009-05-15 |
1942574264 | Sarah Jean Petroccitto | Social Worker | 1061 Bruynswick Rd, Gardiner, NY 12525-5106 | 2012-03-05 |
1669527644 | Susanrachel Balber-condon | Advanced Practice Midwife | 2731 Route 44 55, Gardiner, NY 12525-5123 | 2007-01-23 |
1164804902 | Melanie Koby | Registered Nurse | 2812 Route 44 55, Gardiner, NY 12525-5128 | 2015-06-28 |
1861900169 | Patricia Hohmann | Licensed Practical Nurse | 290 Burnt Meadow Rd, Gardiner, NY 12525-5131 | 2018-01-21 |
Find all providers in zip 12525 |
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 |
---|---|---|---|---|
1669801882 | Heidi Dellaire | Massage Therapist | 17 Brunswick Ave, Gardiner, ME 04345-2123 | 2013-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
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.