MR. REUBEN BONTRAGER (NPI# 1417002700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417002700 |
| Entity Type | Individual |
| Full Name | MR. REUBEN BONTRAGER |
| Credential | LMT. |
| Practice Address |
4439 Jackson St Ste B Marianna FL 32448-4602 |
| Mailing Address |
860 Highway 71 Marianna FL 32448-5209 |
| Practice Telephone | 8504822264 |
| Practice Fax Number | 8504825270 |
| Mailing Telephone | 8507624312 |
| Mailing Fax Number | 8504825270 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA 11682 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MASSAGE THERAPIST | C5714 | 01 |
| Street Address |
4439 JACKSON ST STE B |
| City | MARIANNA |
| State | FL |
| Zip Code | 32448-4602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538351184 | Reuben Bontrager | General Practice | 4439 Jackson St Ste B, Marianna, FL 32448-4660 | 2007-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356690846 | Stephanie James Tolin | Counselor | 2499 Pennsylvania Ave, Marianna, FL 32448 | 2012-08-30 |
| 1518085414 | Barbara M Kavanagh | Counselor | 3459 Seminole Lane, Marianna, FL 32448 | 2007-03-27 |
| 1235105818 | Daniel E Bontrager | Chiropractor | 4439 Jackson St, Marianna, FL 32448 | 2006-02-24 |
| 1760630156 | Judith Ann Hussey | Nurse Practitioner | 2944 Penn Ave Ste L, Marianna, FL 32448 | 2008-08-28 |
| 1194918854 | Gentiva Health Services (certified), Inc. | Home Health | 2491 Commercial Park Dr, Marianna, FL 32448-2521 | 2007-08-24 |
| 1265541536 | Elyssa Waller | Chiropractor | 2525 Commercial Park Dr, Marianna, FL 32448-2522 | 2006-08-30 |
| 1962429340 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 2255 Highway 71, Marianna, FL 32448-2541 | 2006-07-16 |
| 1821698408 | Brandrail Brown | Pharmacist | 2255 Highway 71, Marianna, FL 32448-2541 | 2020-10-31 |
| 1437554623 | William Peacock | Optometrist | 2255 Highway 71, Marianna, FL 32448-2541 | 2014-10-30 |
| 1528279742 | Douglas Carlton Neel Jr. | Pharmacist | 2255 Highway 71, Marianna, FL 32448-2541 | 2007-05-28 |
| Find all providers in zip 32448 | ||||
| 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 |
|---|---|---|---|---|
| 1275636268 | Laura Ingram | Massage Therapist | 4440 Lafayette St, Suite K, Marianna, FL 32446-3410 | 2006-09-06 |
| 1144333253 | Jessica Nichole Skipper | Massage Therapist | 4440 Lafayette St Ste K, Marianna, FL 32446-3411 | 2006-08-16 |
| 1033359781 | Patricia Lynn Benedict | Massage Therapist | 4215 Kelson Ave, Suitec, Marianna, FL 32446-8211 | 2009-02-20 |
| 1417156159 | Felicia Gibson | Massage Therapist | 4966 Highway 90, Marianna, FL 32446-6814 | 2007-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598204 | Zenus Annzarie Goodyard | Massage Therapist | 3076 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3246 | 2020-11-03 |
| 1558962886 | Felicia Warner | Massage Therapist | 2750 Cypress Trace Cir Apt 2620, Naples, FL 34119-8077 | 2020-11-03 |
| 1497355184 | Ashley Feehan | Massage Therapist | 32806 Lister Rd, Dade City, FL 33523-6413 | 2020-10-30 |
| 1932709904 | Franchesca Bairam | Massage Therapist | 206 37th Ave N, Saint Petersburg, FL 33704-1416 | 2020-10-29 |
| 1679173538 | Benson Tong | Massage Therapist | 3530 1st Ave N Ste 206, Saint Petersburg, FL 33713-8442 | 2020-10-29 |
| 1801496989 | Alivia L Mckamey | Massage Therapist | 533 Nw 28th St, Gainesville, FL 32607-2512 | 2020-10-28 |
| 1992305189 | Julie Accorti | Massage Therapist | 36 Memorial Pkwy Sw, Fort Walton Beach, FL 32548-6512 | 2020-10-28 |
| 1487254785 | Rigoberto Rosa | Massage Therapist | 51 Ne 24th St, Miami, FL 33137-5385 | 2020-10-27 |
| 1982204392 | Cindy Figh | Massage Therapist | 11408 Coventry Grove Cir, Lithia, FL 33547-4929 | 2020-10-27 |
| 1639778152 | Megan A Chapman | Massage Therapist | 1504 Ringmore Ct, Dover, FL 33527-4960 | 2020-10-26 |
| 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.