IRENE MARDAL (NPI# 1396108270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396108270 |
Entity Type | Individual |
Full Name | IRENE MARDAL |
Credential | LMT |
Practice Address |
100 Redding Rd Redding CT 06896-3236 |
Mailing Address |
26 Wooster St Apartment Rear Bethel CT 06801-1832 |
Practice Telephone | 2035447733 |
Practice Fax Number | 2035441200 |
Mailing Telephone | 2034489184 |
Enumeration Date | 2016-03-30 |
Last Update Date | 2016-03-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 000932 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
100 REDDING RD |
City | REDDING |
State | CT |
Zip Code | 06896-3236 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487638144 | Redding Life Care, LLC | Skilled Nursing Facility | 100 Redding Rd, Redding, CT 06896-3220 | 2005-12-05 |
1285298208 | Jacquelyn Hope Carr | Physical Therapist | 100 Redding Rd, Redding, CT 06896-3236 | 2019-04-24 |
1164881421 | Kaila Aurelia | Occupational Therapist | 100 Redding Rd, Redding, CT 06896-3236 | 2016-02-15 |
1881066157 | Shea-kathryn Silver | Occupational Therapist | 100 Redding Rd, Redding, CT 06896-3236 | 2015-10-27 |
1497158224 | Emabel C Gund | Speech-Language Pathologist | 100 Redding Rd, Redding, CT 06896-3236 | 2014-10-07 |
1922338649 | Kenneth Richard Kaess | Nuclear Medicine | 100 Redding Rd, Redding, CT 06896-3236 | 2009-12-31 |
1871724922 | Anita Ora Rothman | Occupational Therapist | 100 Redding Rd, Redding, CT 06896-3236 | 2009-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467964957 | Beverley Hyacinth Campbell | Licensed Practical Nurse | 108 Blackrock Turnpike, Redding Ridge, CT 06896 | 2017-10-25 |
1902352966 | Katherine Fleming | Specialist | 9 Redcoat Lane, Redding, CT 06896 | 2016-08-30 |
1871812347 | Redding Board of Education | Local Education Agency (LEA) | 33 Lonetown Road, Redding Elementary School, Redding, CT 06896 | 2010-05-24 |
1205003977 | Jay M Seewald | Dentist | Station Place, Redding, CT 06896 | 2008-05-13 |
1699954370 | Nancy Mcgrath Bottger | Social Worker | 10 Farview Farm Rd, Redding, CT 06896 | 2007-10-30 |
1982708343 | Constance Lawrence | Marriage & Family Therapist | 2103 Meadow Ridge, Redding, CT 06896 | 2006-09-07 |
1902324650 | Hs Smiles,llc | Dentist | 2 Long Ridge Rd, West Redding, CT 06896-1111 | 2017-09-01 |
1053928911 | Han Anesthesiology | Clinic/Center | 2 Long Ridge Rd, Redding, CT 06896-1111 | 2020-09-24 |
1104450956 | Bethany Sr Pllc | Clinic/Center | 2 Long Ridge Rd, Redding, CT 06896-1111 | 2020-03-01 |
1538132725 | Redding Fire District 2 | Ambulance | 306 Umpawaug Rd, Redding, CT 06896-1213 | 2006-02-09 |
Find all providers in zip 06896 |
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 |
---|---|---|---|---|
1447870589 | Whitney Kenney | Massage Therapist | 1539 Chestnut St, Redding, CA 96001-1639 | 2020-04-18 |
1982265799 | Juliane Carrillo | Massage Therapist | 3609 Bechelli Ln Ste E, Redding, CA 96002-2453 | 2019-06-23 |
1649754243 | Randy Ganoung | Massage Therapist | 3452 Argyle Rd, Redding, CA 96002-9513 | 2018-09-19 |
1851805287 | Dawn Alexis Bianco | Massage Therapist | 2866 Park Marina Dr, Redding, CA 96001-2804 | 2017-11-21 |
1396282315 | Justin Scott Bethel | Massage Therapist | 1484 Hartnell Ave, Ste H, Redding, CA 96002-2252 | 2017-01-28 |
1689067779 | Elizabeth P Raudman | Massage Therapist | 1832 Buenaventura Blvd Ste B, Redding, CA 96001-3828 | 2015-03-12 |
1013329994 | Sara Clark | Massage Therapist | 1007 Dana Dr Ste C, Redding, CA 96003-4036 | 2014-05-27 |
1720312689 | Clover Lutter | Massage Therapist | 2910 Veda St, Suite 1, Redding, CA 96001-3207 | 2009-09-24 |
1205968443 | Tracy Ann Carlson | Massage Therapist | 1820 Wisconsin Ave, Redding, CA 96001-2908 | 2007-03-12 |
1851450688 | Cheri A. Davis | Massage Therapist | 1918 West St, Redding, CA 96001-1760 | 2006-12-07 |
Find all providers in REDDING |
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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.