MRS. MICHELLE L CARLSON (NPI# 1447659008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447659008 |
Entity Type | Individual |
Full Name | MRS. MICHELLE L CARLSON |
Credential | LMT |
Practice Address |
3322 W Willow Knolls Dr Suite B Peoria IL 61614-8148 |
Mailing Address |
1637 W Clarewood Ave Peoria IL 61614-5736 |
Practice Telephone | 3096903322 |
Mailing Telephone | 3092134040 |
Enumeration Date | 2014-08-20 |
Last Update Date | 2014-08-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 2980-146 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437677101 | Michelle Colleen Carlson | Dental Hygienist | 2402 Route 2 Ste E, Hermon, ME 04401-0666 | 2017-09-01 |
1881890838 | Michelle Schlecht Carlson | Specialist | 58363 Liberty Dr, Slidell, LA 70460-3115 | 2007-06-26 |
1780238352 | Michelle Carlson | Behavior Technician | 709 Brookside Pl, Colwich, KS 67030-9683 | 2019-07-31 |
1528474053 | Michelle Lee Carlson | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-07-04 |
1134558950 | Michelle Carlson | Occupational Therapy Assistant | 4001 Capital Mall Dr Sw, Olympia, WA 98502-8657 | 2013-11-02 |
1689992356 | Michelle Delilah Carlson | Internal Medicine | 701 Park Ave # O5, Minneapolis, MN 55415-1623 | 2010-05-05 |
1891884417 | Michelle Gerwin Carlson | Orthopaedic Surgery | 523 E 72nd St, 4th Floor, New York, NY 10021-4099 | 2006-10-12 |
1558380162 | Michelle Lee Carlson | Nurse Practitioner | 2922 Morgan Ave, Corpus Christi, TX 78405 | 2006-07-18 |
Street Address |
3322 W WILLOW KNOLLS DR SUITE B |
City | PEORIA |
State | IL |
Zip Code | 61614-8148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285613463 | Thomas Kevin Brattain | Podiatrist | 3322 W Willow Knolls Dr, Peoria, IL 61614-8148 | 2006-01-16 |
1336549427 | Patricia Geffre-starr | Massage Therapist | 3322 W Willow Knolls Dr, Peoria, IL 61614-8148 | 2014-08-26 |
1518387109 | Justin R. Ahlman, M.d. | Anesthesiology | 3322 W Willow Knolls Dr, Peoria, IL 61614-8148 | 2014-04-22 |
1093885378 | Mark Alan Smith | Podiatrist | 3322 W Willow Knolls Dr, Peoria, IL 61614 | 2006-11-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
Find all providers in zip 61614 |
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 |
---|---|---|---|---|
1871158386 | Jamie Lauren Keune | Massage Therapist | 30081 N 70th Dr, Peoria, AZ 85383-3048 | 2019-05-09 |
1255831517 | Patricia Ann Bryan | Massage Therapist | 3530 W Willow Knolls Dr, Peoria, IL 61614-1010 | 2018-02-13 |
1053776880 | Adam Matthew Hoeper | Massage Therapist | 2208 W. Willow Knolls Rd, Peoria, IL 61614-1647 | 2015-12-21 |
1306241377 | Ruby Dee Ross | Massage Therapist | 2208 W Willow Knolls Rd, Peoria, IL 61614-1467 | 2014-11-03 |
1689079659 | Marjorie Lee Bard | Massage Therapist | 2208 W Willow Knolls Rd., Peoria, IL 61614-1467 | 2014-11-03 |
1225377708 | Judy Ann Stuebs | Massage Therapist | 9206 W Mobile Ave, Peoria, AZ 85345-5537 | 2013-02-04 |
1194041061 | Jenna L Sparks | Massage Therapist | 9191 W Thunderbird Rd Ste 108, Peoria, AZ 85381-4270 | 2010-04-15 |
1699909440 | Phillip G Washington | Massage Therapist | 8826 W Seldon Ln, Peoria, AZ 85345-2517 | 2009-05-07 |
1326281452 | Angela Brown | Massage Therapist | 9118 N 80th Ln, Peoria, AZ 85345-4821 | 2009-04-20 |
1821262346 | Kathleen L Fleury-dougherty | Massage Therapist | 8877 W Union Hills Dr Ste 300, Peoria, AZ 85382 | 2008-04-15 |
Find all providers in PEORIA |
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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.