ELLIOTT CHALLANDES (NPI# 1518587211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518587211 |
Entity Type | Individual |
Full Name | ELLIOTT CHALLANDES |
Credential | LMT |
Practice Address |
838 S 4th St Ste B Springfield IL 62703-2274 |
Practice Telephone | 2174167649 |
Mailing Telephone | 2174167649 |
Enumeration Date | 2020-04-22 |
Last Update Date | 2020-04-22 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 227.019555 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
838 S 4TH ST STE B |
City | SPRINGFIELD |
State | IL |
Zip Code | 62703-2274 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790260917 | Jessica Lynne Zeeck | Behavior Technician | 5220 6th Street Frontage Road, E Suite 1700, Springfield, IL 62703 | 2018-10-03 |
1215415799 | Bree Schmulbach | Nurse Practitioner | Bsb Room 20, Springfield, IL 62703 | 2018-08-06 |
1144712100 | Fresenius Medical Care Springfield East, LLC | Clinic/Center | 140 S. Martin Luther King Jr. Drive, Springfield, IL 62703 | 2018-06-05 |
1558889170 | Ji Woung Choi | Dentist | 687 E Linton Ave., Springfield, IL 62703 | 2017-09-04 |
1477006161 | Encompass Home Health of The Midwest,llc | Home Health | 2970 Baker Dr, Springfield, IL 62703 | 2016-07-28 |
1851706824 | Terah Louise Holland | Obstetrics & Gynecology | 1100 E Lincolnshire Blvd Ste 200, Springfield, IL 62703 | 2014-06-27 |
1578993101 | Corey Moore | Behavioral Analyst | 5520 South 6th Street Road, Suite 1700, Springfield, IL 62703 | 2013-11-18 |
1134463052 | The Center for Youth and Family Solutions Inc. | Voluntary or Charitable | 614 North Sixth Street, Springfield, IL 62703 | 2012-11-15 |
1447519111 | Tenshi Furumi | Specialist/Technologist | One University Plaza, Univ. of Illinois-springfield, Ms Rec 2004, Springfield, IL 62703 | 2012-05-15 |
1447558390 | Shalini Mulkanoor | Family Medicine | 1100 E. Lincolnshire Blvd., Suite 200, Springfield, IL 62703 | 2011-03-02 |
Find all providers in zip 62703 |
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 |
---|---|---|---|---|
1386250850 | Tierney Dillon | Massage Therapist | 920 Broadway St, Springfield, OH 45504-2406 | 2020-09-21 |
1306452859 | Krystal Hanner | Massage Therapist | 8001 Forbes Pl Ste 211, Springfield, VA 22151-2205 | 2020-09-21 |
1083251227 | Brent Eresman | Massage Therapist | 25 W. Harding Rd, Springfield, OH 45504 | 2019-12-06 |
1467097311 | Tracy L Ferrell | Massage Therapist | 1144 E Home Rd Ste C, Springfield, OH 45503-2797 | 2019-11-14 |
1891358180 | Diane Kendrick Dufresne | Massage Therapist | 1200 E Woodhurst Dr Ste Q, Springfield, MO 65804-4240 | 2019-04-22 |
1033772553 | Brenda Royce | Massage Therapist | 519 72nd St, Springfield, OR 97478-4220 | 2019-04-19 |
1568928091 | Aranda Lmt LLC | Massage Therapist | 655 A St, Springfield, OR 97477-4670 | 2019-02-20 |
1710451695 | Teri Hooper | Massage Therapist | 1200 E Woodhurst Dr Ste R300, Springfield, MO 65804-4240 | 2019-01-14 |
1104327865 | Deborah Elizabeth Webb | Massage Therapist | 1022 E Gaslight Dr, Springfield, MO 65810-3336 | 2018-02-27 |
1316448343 | Karl Lynham | Massage Therapist | 1200 E Woodhurst Dr R300, Springfield, MO 65804 | 2018-02-25 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62703 |
Please comment or provide details below to improve the information on ELLIOTT CHALLANDES.
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.