LUANNE HETRICK (NPI# 1528456001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528456001 |
Entity Type | Individual |
Full Name | LUANNE HETRICK |
Practice Address |
96 Lakeshore Dr Ste B Saint Marys GA 31558-3858 |
Mailing Address |
119 S Arthurs Ct Kingsland GA 31548-4131 |
Practice Telephone | 9125109355 |
Mailing Telephone | 9126740883 |
Enumeration Date | 2015-01-06 |
Last Update Date | 2015-01-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225700000X | Massage Therapist | MA72015 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 225700000X | Massage Therapist | MT009260 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
96 LAKESHORE DR STE B |
City | SAINT MARYS |
State | GA |
Zip Code | 31558-3858 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063753432 | Lauren J Panzarella | Chiropractor | 96 Lakeshore Dr Ste B, Saint Marys, GA 31558-3858 | 2013-03-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
1922659192 | Christian Bianca Booker | Social Worker | 944 Kings Bay Rd. #247, St. Marys, GA 31558 | 2019-09-27 |
1154897296 | Shonta Harper | Counselor | 708 Osborne St Ste 104, Saint Marys, GA 31558 | 2018-10-16 |
1174038095 | Camden Behavioral Wellness, Inc | Counselor | 605 Osborne Street, Saint Mary's, GA 31558 | 2017-12-14 |
1285149427 | Urgent Care of Coastal Georgia | General Practice | 214 A Professional Circle, St. Marys, GA 31558 | 2017-12-11 |
1679975783 | Jeremy Cole | Behavioral Analyst | 921 Charlie Smith Sr. Highway, St. Marys, GA 31558 | 2014-09-19 |
1053660738 | Janice Paulino Ramirez | Nurse Practitioner | 2040 Dan Proctor Drive, Suite 170, St Marys, GA 31558 | 2012-09-10 |
1174899454 | Light Horse Healthcare Inc | Voluntary or Charitable | 2060 Dan Proctor Drive, Suite 3300, St Marys, GA 31558 | 2012-03-30 |
1316215775 | Annette O. Perry | Counselor | 4019 Hwy 40 East, St. Marys, GA 31558 | 2011-12-13 |
1932486271 | Sarah Jo Meyers | Speech-Language Pathologist | 2015 Osborne Rd, Unit A, St Marys, GA 31558 | 2011-11-15 |
Find all providers in zip 31558 |
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 |
---|---|---|---|---|
1164604260 | Christopher Edwards White | Massage Therapist | 103 N Julia St, Saint Marys, GA 31558-9133 | 2007-11-29 |
1699806620 | Sherri L. Brown | Massage Therapist | 01965 Feeder Rd, Saint Marys, OH 45885-9309 | 2007-03-09 |
1558985028 | Tisha Windland | Massage Therapist | 210 2nd St, Saint Marys, WV 26170-1097 | 2020-06-01 |
1053770164 | Kendra Ferrall | Massage Therapist | 153 E Spring St, Saint Marys, OH 45885-2311 | 2016-02-17 |
1932373875 | Nitschke Chiropractic Wellness Center LLC | Massage Therapist | 1275 Greenville Rd, Saint Marys, OH 45885-9352 | 2008-04-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396346169 | Debra Davis | Massage Therapist | 702 Baldwin Dr Ste A, Albany, GA 31707-4027 | 2020-11-06 |
1780285197 | Tyrone Roy | Massage Therapist | 869 King Rd, Stone Mountain, GA 30088-2203 | 2020-11-03 |
1295336758 | Nadia Elizabeth Jones | Massage Therapist | 300 S Hamilton St, Dalton, GA 30720-8215 | 2020-11-02 |
1164022968 | Gregory R Bell Jr. | Massage Therapist | 106 W Henry St # B, Savannah, GA 31401-6721 | 2020-10-30 |
1770183527 | Alexander Jones | Massage Therapist | 626 Dekalb Ave Se Apt 1445, Atlanta, GA 30312-5409 | 2020-10-30 |
1134728124 | Quaniessa Rochelle Jenkins | Massage Therapist | 449 Oak Dr # 2, Atlanta, GA 30354-1228 | 2020-10-20 |
1598364630 | Amy Yang | Massage Therapist | 4505 Bradstone Trce Nw, Lilburn, GA 30047-8019 | 2020-10-20 |
1073112405 | Tavia Rena Bell | Massage Therapist | 2512 Grayton Loop, Villa Rica, GA 30180-6702 | 2020-10-17 |
1063010437 | Miranda Browne | Massage Therapist | 335 Roberts Rd, Athens, GA 30606-1227 | 2020-10-16 |
1710585567 | Lailyn Pineda Burkett | Massage Therapist | 3550 Ga Highway 20 South, Conyers, GA 30013-2877 | 2020-10-14 |
Find all providers with the same taxonomy |
City | SAINT MARYS |
Zip Code | 31558 |
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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.