ANDREA L REYNOLDS (NPI# 1396071932) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396071932 |
Entity Type | Individual |
Full Name | ANDREA L REYNOLDS |
Credential | LMT |
Practice Address |
129 Phelps Ave Rockford IL 61108-2453 |
Practice Telephone | 2248050000 |
Mailing Telephone | 2248050000 |
Enumeration Date | 2009-11-01 |
Last Update Date | 2015-09-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 227.005720 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578079166 | Andrea Reynolds | Counselor | 108 Dion St, Winooski, VT 05404 | 2017-12-19 |
1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
1548434079 | Andrea Brown Reynolds | Pediatrics | 4810 Whitesport Cir Sw Ste 100, Huntsville, AL 35801-7420 | 2008-04-16 |
1659912764 | Andrea Mcgann Reynolds | Occupational Therapist | 950 E County Line Rd Ste A, Ridgeland, MS 39157-1928 | 2019-10-01 |
1508344730 | Andrea Reynolds | Community Health Worker | 1550 Old Henderson Rd, Columbus, OH 43220-3626 | 2018-07-31 |
1639556772 | Andrea Reynolds | Counselor | 368 Fell St, San Francisco, CA 94102-5144 | 2015-04-28 |
1811278765 | Andrea Reynolds | Counselor | 160 E Holt Ave Ste B, Pomona, CA 91767-5407 | 2011-09-06 |
1811209695 | Andrea Marie Reynolds | Pediatrics | 13535 Nemours Pkwy, Orlando, FL 32827-7402 | 2010-07-08 |
1912130295 | Andrea Marie Reynolds | Speech-Language Pathologist | 2016 S Washington St, Grand Forks, ND 58201-6342 | 2009-09-02 |
1932371010 | Andrea Reynolds | Audiologist | 1720 Nicholasville Rd, Suite 500, Lexington, KY 40503-1404 | 2008-03-28 |
Street Address |
129 PHELPS AVE |
City | ROCKFORD |
State | IL |
Zip Code | 61108-2453 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245239284 | Gary D Rifkin | Specialist | 129 Phelps Ave, Suite 508, Rockford, IL 61108-2453 | 2005-07-20 |
1760931356 | Kathleen Marie O'dierno | Social Worker | 129 Phelps Ave, Building 8, Suite 825, Rockford, IL 61108-2453 | 2016-09-24 |
1235506486 | Milos Dental Care | Dentist | 129 Phelps Ave, Suite 307, Rockford, IL 61108-2453 | 2015-08-24 |
1245616929 | Virtual Cardiology, LLC | Internal Medicine | 129 Phelps Ave, Suite 406, Rockford, IL 61108-2453 | 2015-08-05 |
1619368834 | Portable Medical Resources Ltd | Radiologic Technologist | 129 Phelps Ave, Suite 406, Rockford, IL 61108-2453 | 2015-02-10 |
1861836835 | Camelot Imaging Solutions, Ltd | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 129 Phelps Ave, Suite 213, Rockford, IL 61108-2453 | 2013-04-22 |
1104190503 | Patrick B. Whitaker, D.c., P.C. | Chiropractor | 129 Phelps Ave, Suite 316, Rockford, IL 61108-2453 | 2012-03-02 |
1225153273 | Bonnie Blakeley | Counselor | 129 Phelps Ave, Suite 204, Rockford, IL 61108-2453 | 2007-03-20 |
1598889537 | Sadie Foster | Counselor | 129 Phelps Ave, Suite 910, Rockford, IL 61108-2453 | 2007-03-16 |
1649337783 | Sandra Lynn Williams | Social Worker | 129 Phelps Ave, Suite 907, Rockford, IL 61108-2453 | 2007-01-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
Find all providers in zip 61108 |
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 |
---|---|---|---|---|
1902411325 | Todd M Genovese | Massage Therapist | 3209 Twin Ridge Ln, Rockford, IL 61109-3866 | 2020-09-11 |
1558980797 | Christy Ann Cellitti | Massage Therapist | 2222 E State St Ste A98, Rockford, IL 61104-1572 | 2020-04-08 |
1922452572 | Sarah Deur | Massage Therapist | 7500 Agawa Trl Ne, Rockford, MI 49341-8524 | 2016-04-20 |
1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
1225413073 | Hannah Grissom | Massage Therapist | 11591 Northland Dr Ne, Rockford, MI 49341-8426 | 2015-07-22 |
1144618984 | Maria Natalia Corales | Massage Therapist | 519 Parkside Dr, Rockford, IL 61108-2024 | 2015-01-01 |
1427318831 | Paulette Jeronimus | Massage Therapist | 4616 Newcastle Rd, Rockford, IL 61108-7714 | 2012-05-18 |
1851673669 | Nadene Johnson | Massage Therapist | 1917 E Gate Pkwy, Rockford, IL 61108-5915 | 2011-09-16 |
1578852216 | Robin J Debenedetto | Massage Therapist | 4967 Cardamon Ln, Rockford, IL 61114-5323 | 2011-04-04 |
1366744963 | Kelli Boehning | Massage Therapist | 429 Phelps Ave, Bldg. 7 Ste. 711, Rockford, IL 61108-2493 | 2010-12-02 |
Find all providers in ROCKFORD |
Please comment or provide details below to improve the information on ANDREA L REYNOLDS.
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.