TYWANNA COUNCIL


Address: 4720 Salisbury Road #102, Jacksonville, FL 32256
Phone: 9049244158

TYWANNA COUNCIL (NPI# 1538787866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538787866
Entity Type Individual
Full Name TYWANNA COUNCIL
Practice Address 4720 Salisbury Road #102
Jacksonville
FL 32256
Mailing Address 8859 Old Kings Rd S Apt 717
Jacksonville
FL 32257-1748
Practice Telephone 9049244158
Mailing Telephone 9049244158
Enumeration Date 2020-07-13
Last Update Date 2020-07-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA67757 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 4720 SALISBURY ROAD #102
City JACKSONVILLE
State FL
Zip Code 32256

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1841890464 Alice Sanchez Dietitian, Registered 7643 Gate Parkway, Suite 104-1128, Jacksonville, FL 32256 2020-11-01
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1376175117 Diane Stover Case Manager/Care Coordinator 7001 A. C. Skinner Parkway, Jacksonville, FL 32256 2020-02-10
1982235859 Sandra Josefina Baez Nunez Nurse Practitioner 10739 Deerwood Park Blvd, Suite 200, Jacksonville, FL 32256 2020-01-30
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1598324113 Dhaval Yogeshkumar Shah Dentist 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 2019-06-07
1003472499 Dade Medical, Inc. Durable Medical Equipment & Medical Supplies 9143 Philips Highway Suite 270, Jacksonville, FL 32256 2019-05-13
1003479726 Nichole Bashara Behavior Technician 8383 Baymeadows Rd, Jacksonville, FL 32256 2019-04-18
1265917124 Sandra Jayussi Nurse Practitioner 7406 Fullerton Ave, Jacksonville, FL 32256 2018-09-26
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1376142299 Undra Williams Massage Therapist 5900 Townsend Rd Apt 813, Jacksonville, FL 32244-4579 2020-10-21
1356958771 Jared Franklin Massage Therapist 1540 El Prado Rd Apt 1, Jacksonville, FL 32216-2965 2020-09-29
1043826613 Eric Gene Thompson Massage Therapist 2386 Villanova Cir # Na, Jacksonville, FL 32218-5123 2020-09-19
1720693757 Cathleen Ann Smith Massage Therapist 13051 Gran Bay Pkwy Unit 2321, Jacksonville, FL 32258-6520 2020-09-15
1720693286 Paul Andrew Hudson Massage Therapist 13108 Harborton Dr, Jacksonville, FL 32224-7403 2020-09-11
1063026748 Sandra Nicole Frye Massage Therapist 5894 Long Branch Rd, Jacksonville, FL 32234 2020-09-01
1104437821 Crystal Delgado Mccraw Massage Therapist 869 Stockton St Ste 8, Jacksonville, FL 32204-3590 2020-08-14
1659904514 Kyoko Provencio Massage Therapist 136 Gregory Pl, Jacksonville, AR 72076-3212 2020-02-19
1750933529 James Bradley Toon Massage Therapist 12443 San Jose Blvd Ste 801, Jacksonville, FL 32223-8654 2019-07-11
1669937090 Benny Ball Massage Therapist 2 Independent Dr Ste 108, Jacksonville, FL 32202-5016 2019-02-11
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Competitor

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City JACKSONVILLE
Zip Code 32256

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Dataset Information

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.

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