MS. GWENDOLYN FRANCES GLENN (NPI# 1477730810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477730810 |
| Entity Type | Individual |
| Full Name | MS. GWENDOLYN FRANCES GLENN |
| Credential | LMT |
| Practice Address |
150 Fortenberry Rd Suite E Merritt Island FL 32952-3681 |
| Practice Telephone | 3214522255 |
| Practice Fax Number | 3214528863 |
| Mailing Telephone | 3214522255 |
| Mailing Fax Number | 3214528863 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA#23771 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
150 FORTENBERRY RD SUITE E |
| City | MERRITT ISLAND |
| State | FL |
| Zip Code | 32952-3681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841761673 | Pushpa Daliya | Physical Medicine & Rehabilitation | 1200 S Courtenay Pkwy, Merritt Island, FL 32952 | 2018-12-05 |
| 1407335458 | Merritt Island Outpatient Surgery Center, LLC | Clinic/Center | 450 E Merritt Island Cswy Ste 400, Merritt Island, FL 32952 | 2018-08-10 |
| 1760903272 | Harold A Utt Jr. | Audiologist | 105 N. Banana River Drive, Merritt Island, FL 32952 | 2017-07-06 |
| 1942720982 | Cadiz Senior Care | Assisted Living Facility | 1970 Farrington Drive, Merritt Island, FL 32952 | 2017-06-21 |
| 1891230884 | Jessica Orcel | Behavioral Analyst | 1680 E. Central Avenue, Merritt Island, FL 32952 | 2016-12-29 |
| 1770039539 | Haley Haskins | Student in an Organized Health Care Education/Training Program | 1655 Yates Dr., Merritt Island, FL 32952 | 2016-08-31 |
| 1891150900 | Kristin Stevenson | Case Management | 262 Island Beach Blvd, Mirritt Island, FL 32952 | 2015-12-17 |
| 1568835080 | Brilliant Smiles Orthodontics | Health Maintenance Organization | 455 Magnolia Avenue, Merritt Island, FL 32952 | 2015-11-05 |
| 1184967184 | Roseann Judith Simone | Assisted Living Facility | 280 Bahama Dr, Angel Guardian, Cocoa Beach, FL 32952 | 2013-03-28 |
| 1942558861 | Daven H Patel | Dentist | 800 E. Merritt Island Causeway, Merritt Island, FL 32952 | 2012-08-27 |
| Find all providers in zip 32952 | ||||
| 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 |
|---|---|---|---|---|
| 1003115304 | Darlene Ann Kinzel | Massage Therapist | 300 Eyre Ave, Merritt Island, FL 32953-4616 | 2011-03-25 |
| 1134438278 | Sasha Buthker | Massage Therapist | 60 Fortenberry Rd, Merritt Island, FL 32952-3616 | 2010-10-06 |
| 1760626709 | Jennifer L Jensen | Massage Therapist | 262 E Merritt Island Cswy Ste 11, Merritt Island, FL 32952-3650 | 2009-04-21 |
| 1720231160 | Steven R Wall | Massage Therapist | 218 Parnell St, Merritt Island, FL 32953-4714 | 2008-10-29 |
| 1588811764 | Karin A Atwell | Massage Therapist | 387 Hibiscus Ave, Merritt Island, FL 32953-4750 | 2008-08-19 |
| 1689838278 | Laura Michelle Tucker | Massage Therapist | 629 Lychee Pl, Merritt Island, FL 32952-4023 | 2008-07-14 |
| 1699953570 | Integrative Bodywork | Massage Therapist | 211 Mcleod St, Merritt Island, FL 32953-3463 | 2008-02-04 |
| 1649466046 | Stacy Matson Gioia | Massage Therapist | 262 E Merritt Island Cswy, Suite 11, Merritt Island, FL 32952-3675 | 2007-09-19 |
| 1477758647 | Denise Marie Laventure | Massage Therapist | 925 N Courtenay Pkwy, Suite 6, Merritt Island, FL 32953-4569 | 2007-06-18 |
| 1639373137 | Christine E. Shaw | Massage Therapist | 2425 N Courtenay Pkwy, Suite #8, Merritt Island, FL 32953-4100 | 2007-06-11 |
| Find all providers in MERRITT ISLAND | ||||
| City | MERRITT ISLAND |
| Zip Code | 32952 |
Please comment or provide details below to improve the information on MS. GWENDOLYN FRANCES GLENN.
| 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.