ANDREA L REYNOLDS


Address: 129 Phelps Ave, Rockford, IL 61108-2453
Phone: 2248050000

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 227.005720 IL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers ANDREA REYNOLDS

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

Office Location

Street Address 129 PHELPS AVE
City ROCKFORD
State IL
Zip Code 61108-2453

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City ROCKFORD
Zip Code 61108

Improve Information

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Dataset Information

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.

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