ELETHA WALKER (NPI# 1497295117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497295117 |
| Entity Type | Individual |
| Full Name | ELETHA WALKER |
| Credential | MMP |
| Practice Address |
215 Walker Smith Rd Florence MS 39073 |
| Mailing Address |
210 Walker Smith Rd Florence MS 39073-8444 |
| Practice Telephone | 6019546831 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 1569 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
215 WALKER SMITH RD |
| City | FLORENCE |
| State | MS |
| Zip Code | 39073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154691004 | Freds Stores of Tennessee Inc | Pharmacy | 2932 Hwy 49 S., Florence, MS 39073 | 2012-01-10 |
| 1538330444 | Florence Dental Clinic | Dentist | 129 Earl Clark Drive, Florence, MS 39073 | 2008-03-19 |
| 1548323579 | Thomas Raymond Byrd | Dentist | 129 Earl Clark Dr., Florence, MS 39073 | 2006-12-19 |
| 1841384443 | Kelley N Martin | Nurse Practitioner | 218 East Main Street, Florence, MS 39073 | 2006-10-03 |
| 1851484422 | Derek Wade Puckett | Physical Therapist | 3000 Hwy 49 South, Florence, MS 39073 | 2006-10-02 |
| 1508961947 | Polks Discount Drugs #2 | Pharmacy | 101 49 Place, Florence, MS 39073 | 2006-09-13 |
| 1669652558 | Martin Health Care, LLC | Family Medicine | 218 East Main St, Florence, MS 39073-0530 | 2007-11-07 |
| 1245415645 | Emmanuel Ridge Community Service Organization | Clinic/Center | 2073 Hwy 49 South, Florence, MS 39073-1944 | 2008-01-03 |
| 1235314634 | Emmanuel Ridge Home Care Agency Inc | Non-emergency Medical Transport (VAN) | 2073 Hwy 49 South, Florence, MS 39073-1944 | 2008-01-03 |
| 1316073307 | Norma M Raymond | Pharmacist | 106 Raymond Gdn, Florence, MS 39073-4402 | 2007-02-26 |
| Find all providers in zip 39073 | ||||
| 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 |
|---|---|---|---|---|
| 1912516527 | Mary Frances Hasekoester | Massage Therapist | 9910 Berberich Dr Unit C, Florence, KY 41042-3220 | 2020-07-29 |
| 1093347916 | Leslie M Shaw | Massage Therapist | 75 Cavalier Blvd Ste 222, Florence, KY 41042-3959 | 2020-02-08 |
| 1033606140 | Nicole Houtz | Massage Therapist | 1512 W 3rd St, Florence, CO 81226-9412 | 2018-04-16 |
| 1164944351 | Karie James | Massage Therapist | 2010 11th St, Florence, OR 97439 | 2017-07-10 |
| 1326577214 | Leroy Tart Jr. | Massage Therapist | 608 Gregg Ave, Florence, SC 29501-4317 | 2017-06-05 |
| 1740713585 | Jennifer M Rasmussen | Massage Therapist | 1379 Rhododendron Dr, Florence, OR 97439-7405 | 2017-04-08 |
| 1518323005 | Michelle Hyatt | Massage Therapist | 117 S Pikes Peak Ave, Florence, CO 81226-1430 | 2016-01-13 |
| 1245604057 | Frederick Carl Guenzler | Massage Therapist | 201 Luby Lane, Florence, MT 59833 | 2015-11-17 |
| 1750750493 | Amber Wellborn | Massage Therapist | 336 Hidden Valley Rd, Florence, MT 59833-6955 | 2015-09-23 |
| 1770960890 | Corey Ione Burgess | Massage Therapist | 1845 Highway 126 Ste A, Florence, OR 97439-9626 | 2015-04-27 |
| Find all providers in FLORENCE | ||||
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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.