SYBLE DAVIS - PETTYCORD (NPI# 1386879112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386879112 |
| Entity Type | Individual |
| Full Name | SYBLE DAVIS - PETTYCORD |
| Credential | MTI |
| Practice Address |
690 Tate St Camden AR 71701-6180 |
| Mailing Address |
Po Box 1420 Camden AR 71711-2420 |
| Practice Telephone | 8702319515 |
| Mailing Telephone | 8702319515 |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2013-03-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 1316 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
690 TATE ST |
| City | CAMDEN |
| State | AR |
| Zip Code | 71701-6180 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456854 | Teresa Mccann | Pharmacist | Brookshire's Pharmacy #85, 1345 Hwy 4 Spur Sw, Camden, AR 71701 | 2020-01-22 |
| 1366938870 | American Oncology Partners, P.a. | Internal Medicine | 115 Fairview Rd Sw, Camden, AR 71701 | 2018-07-09 |
| 1609236454 | Laquisha Kelley | Case Manager/Care Coordinator | 211 South Jackson Street, Camden, AR 71701 | 2016-03-07 |
| 1649654435 | Gerald Stinnett | Occupational Therapy Assistant | 431 Ouachita 51, Camden, AR 71701 | 2015-07-13 |
| 1902105232 | Joannie Phelps | Counselor | 301a Washington, Camden, AR 71701 | 2011-03-25 |
| 1053540732 | Judy Prince | Counselor | 115 Jefferson Sw, Camden, AR 71701 | 2009-07-02 |
| 1861641532 | Candace Bowen | Occupational Therapy Assistant | 1320 Maul North West Road, Camden, AR 71701 | 2008-09-17 |
| 1073739587 | Harmony Grove School District | Local Education Agency (LEA) | 401 Oua Rd 88, Camden, AR 71701 | 2007-04-17 |
| 1215055876 | Angela Mashel Rich | Counselor | 1269 California Sw, Camden, AR 71701 | 2007-03-26 |
| 1104954791 | Lisa H Stevens | Speech-Language Pathologist | 400 Maul Road, Camden, AR 71701 | 2007-03-02 |
| Find all providers in zip 71701 | ||||
| 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 |
|---|---|---|---|---|
| 1174880983 | Dona O. Walters | Massage Therapist | 3469 S Dupont Hwy, Camden, DE 19934-1371 | 2012-04-18 |
| 1114152899 | Touch of Health Care Therapy | Massage Therapist | 636 Crestwood Rd, Camden, AR 71701-2715 | 2009-05-24 |
| 1609094135 | Margaret King | Massage Therapist | 3 Wiley Rd, Camden, ME 04843-4046 | 2007-04-22 |
| 1043235294 | Michelle Miller Mclemore | Massage Therapist | 1007 Church St, Camden, SC 29020-4211 | 2006-07-12 |
| 1740814995 | Whitley Henderson | Massage Therapist | 206 Garden Oaks Dr Sw, Camden, AR 71701-3733 | 2020-02-26 |
| 1093173171 | Michele Digirolamo | Massage Therapist | 91 Elm St, Camden, ME 04843-1906 | 2016-02-04 |
| 1851785448 | Stephanie Cubbage | Massage Therapist | 301 E Camden Wyoming Ave, Camden, DE 19934-1210 | 2015-03-23 |
| 1891913323 | Clay King | Massage Therapist | 3 Wiley Rd, Camden, ME 04843-4046 | 2007-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043903 | Stephanie Jane Brackeen | Massage Therapist | 95 Bassingham Dr, Bella Vista, AR 72715-1526 | 2020-11-02 |
| 1881293975 | Jeana Corleen Anderson | Massage Therapist | 2621 W Main St Ste 9, Russellville, AR 72801-2551 | 2020-10-20 |
| 1205442506 | Emerald Asher | Massage Therapist | 14522 Us 71, Fort Smith, AR 72916 | 2020-09-22 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1427661412 | Brittany Nicole Young | Massage Therapist | 9 Panther Rd, Conway, AR 72032-9709 | 2020-08-28 |
| 1114542651 | Sharon Elaine Gray | Massage Therapist | 7617 W 41st St, Little Rock, AR 72204-7547 | 2020-06-10 |
| 1336762152 | Jenna Leigh Pratt | Massage Therapist | 425 W Capitol Ave Ste 237, Little Rock, AR 72201-3440 | 2020-05-27 |
| 1104448885 | Shacreya Swanigan | Massage Therapist | 4 Shackleford Plz Ste 205, Little Rock, AR 72211-1844 | 2020-05-15 |
| 1972123636 | Duc (douglas) Tran | Massage Therapist | 1615 E Centerton Blvd, Centerton, AR 72719-9208 | 2020-04-23 |
| 1659904514 | Kyoko Provencio | Massage Therapist | 136 Gregory Pl, Jacksonville, AR 72076-3212 | 2020-02-19 |
| 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.