JEWEL LANNETTA MYNAHAN (NPI# 1427344811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427344811 |
| Entity Type | Individual |
| Full Name | JEWEL LANNETTA MYNAHAN |
| Credential | M.T. |
| Practice Address |
632 Us Route 1 Scarborough ME 04074 |
| Practice Telephone | 2078831003 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT4162 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
632 US ROUTE 1 |
| City | SCARBOROUGH |
| State | ME |
| Zip Code | 04074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508065210 | Joshua Iannetta | Neuromusculoskeletal Medicine & OMM | 632 Us Route 1, Scarborough, ME 04074-9794 | 2007-07-12 |
| 1740573906 | Iannetta Manipulation LLC | Clinic/Center | 632 Us Route 1, Scarborough, ME 04074-9794 | 2011-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407462443 | Jennifer Marlowe | Counselor | Crossroads Maine 71-us-1, Scarborough, ME 04074 | 2020-09-16 |
| 1508475724 | Whole Medicine LLC | Family Medicine | 2o Mussey Road, Suite 2, Scarborough, ME 04074 | 2020-07-23 |
| 1154957793 | Maria Robin Libby | Occupational Therapist | 144 Us-1 #4, Scarborough, ME 04074 | 2020-03-16 |
| 1558902932 | Daphne Berta Counseling P.C. | Counselor | 636 Route 1, Scarborough, ME 04074 | 2019-10-07 |
| 1619450574 | Louise Valati | Physical Therapist | Piper Shores, 15 Piper Road, Scarborough, ME 04074 | 2018-09-07 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1750808788 | Jill Daicey Hutchison | Physical Therapy Assistant | 67 Pine Point Road, Scarborough, ME 04074 | 2017-08-30 |
| 1457887580 | Rebecca Shaw | Social Worker | 119 Ash Swamp Road, Scarborough, ME 04074 | 2017-05-10 |
| 1184168767 | Jessica Ann Kaake | Occupational Therapist | 308 Us Route 1 Ste E1, Scarborough, ME 04074 | 2016-12-15 |
| 1356895056 | Nancy Gaudet | Counselor | 6 Catherine Drive, Scarborough, ME 04074 | 2016-08-10 |
| Find all providers in zip 04074 | ||||
| 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 |
|---|---|---|---|---|
| 1225534449 | Brianna Hamilton | Massage Therapist | 183 Us Route 1, Scarborough, ME 04074-9601 | 2018-04-05 |
| 1770001315 | Emily Dunuwila | Massage Therapist | 51 Us Route One Suite R2, Scarborough, ME 04074 | 2017-09-04 |
| 1356871149 | Justin P. Gatti | Massage Therapist | 144 Us Route 1 # A, Scarborough, ME 04074-7219 | 2017-06-14 |
| 1821429788 | Jane Taylor | Massage Therapist | 144 Us Route 1 Ste A, Scarborough, ME 04074-7219 | 2013-12-03 |
| 1235376716 | Ron H Lemire | Massage Therapist | 35 Gunstock Rd, Scarborough, ME 04074-8789 | 2009-01-20 |
| 1215100482 | Gina L Cass | Massage Therapist | 136 Us Route 1, Scarborough, ME 04074-9055 | 2008-04-09 |
| 1629246517 | Robyn Carrie Lamarre | Massage Therapist | 55 Spring Street, Scarborough, ME 04074 | 2008-02-14 |
| 1588294029 | Bethany Rae Murphy | Massage Therapist | 7 Oak Hill Terrace, Suite 212, Scarborough, ME 04074 | 2020-01-23 |
| 1699260893 | Julianne Trecartin-boucher | Massage Therapist | 144 Us Route 1 Ste A, Scarborough, ME 04074-7219 | 2018-06-29 |
| 1346760055 | Erin Jessica Look | Massage Therapist | 144 Us Route 1 # A, Scarborough, ME 04074-7219 | 2017-06-23 |
| Find all providers in SCARBOROUGH | ||||
| City | SCARBOROUGH |
| Zip Code | 04074 |
Please comment or provide details below to improve the information on JEWEL LANNETTA MYNAHAN.
| 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.