MR. JUSTIN A RAND (NPI# 1497369631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497369631 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN A RAND |
| Credential | L.M.T |
| Practice Address |
88 W Colt Square Dr, Fayetteville, Ar 72703 Fayetteville AR 72703 |
| Mailing Address |
3959 N Steele Blvd #517 Fayetteville AR 72703 |
| Practice Telephone | 4794449449 |
| Practice Fax Number | 4794449403 |
| Mailing Telephone | 8505128887 |
| Enumeration Date | 2020-09-04 |
| Last Update Date | 2020-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | ADH13462189 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225700000X | Massage Therapist | MA37867 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
88 W COLT SQUARE DR, FAYETTEVILLE, AR 72703 |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| 1669835484 | Ppg Store 3, LLC | Pharmacy | 11414 W Markham Street, Little Rock, AR 72703 | 2016-03-30 |
| Find all providers in zip 72703 | ||||
| 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 |
|---|---|---|---|---|
| 1356948855 | Danielle Kringlie | Massage Therapist | 921 Old Hunt Pl, Fayetteville, NC 28314-6073 | 2020-10-07 |
| 1871100222 | Christopher Calvin | Massage Therapist | 147 Banks Sta, Fayetteville, GA 30214-7504 | 2020-09-29 |
| 1013529957 | Sonja Renee Gibson | Massage Therapist | 275 Glynn St S, Fayetteville, GA 30214-2015 | 2020-08-21 |
| 1194337345 | Natalie Spencer | Massage Therapist | 3037 Boone Trail Ext Ste G, Fayetteville, NC 28304-3859 | 2020-08-19 |
| 1528677812 | Lamonica Laveta Greene | Massage Therapist | 7804 Loxley Drive, Fayetteville, NC 28314 | 2020-07-23 |
| 1942834007 | Reds of Fayetteville, LLC | Massage Therapist | 1534 Purdue Dr, Fayetteville, NC 28303-5416 | 2020-02-27 |
| 1225662430 | Tracy Renfro | Massage Therapist | 3015 Kingfisher Dr, Fayetteville, NC 28306-9189 | 2020-02-26 |
| 1568011120 | Lacana N Tenn | Massage Therapist | 106 New Hope Rd, Fayetteville, GA 30214-1360 | 2019-09-06 |
| 1114589645 | Prima Elements, LLC | Massage Therapist | 124 Anderson St, Fayetteville, NC 28301-5014 | 2019-07-04 |
| 1821565821 | Sase Chyk Enterprises, LLC | Massage Therapist | 1111 Ireland Dr Ste 103, Fayetteville, NC 28304-3329 | 2018-10-28 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on MR. JUSTIN A RAND.
| 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.