MRS. MICHELLE L CARLSON


Address: 3322 W Willow Knolls Dr, Suite B, Peoria, IL 61614-8148
Phone: 3096903322

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 2980-146 WI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers MICHELLE CARLSON

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

Office Location

Street Address 3322 W WILLOW KNOLLS DR
SUITE B
City PEORIA
State IL
Zip Code 61614-8148

Providers in the same location

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

Providers in the same zip code

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 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
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

Competitor

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City PEORIA
Zip Code 61614

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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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