MS. A. RUTH DODD (NPI# 1568762227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568762227 |
| Entity Type | Individual |
| Full Name | MS. A. RUTH DODD |
| Credential | LMT |
| Practice Address |
305 South St Dongola IL 62926-1036 |
| Practice Telephone | 6188274816 |
| Mailing Telephone | 6188274816 |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227.003443 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
305 SOUTH ST |
| City | DONGOLA |
| State | IL |
| Zip Code | 62926-1036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366506628 | Rural Health, Inc. | Clinic/Center | 318 N Us Highway 51, Dongola, IL 62926 | 2006-12-21 |
| 1154597698 | Dongola School Unit Dist 66 | Clinic/Center | 1000 High Street, Dongola, IL 62926 | 2008-05-05 |
| 1194947770 | Dongola Sch Unit Dist 66 | Clinic/Center | 1000 High Street, Dongola, IL 62926 | 2007-05-03 |
| 1104096932 | Dongola Sch Unit Dist 66 | Clinic/Center | 1000 High St., Dongola, IL 62926-0190 | 2008-03-07 |
| 1376851410 | Cheryl A Fuller | Nurse Practitioner | 318 Us Highway 51 N, Dongola, IL 62926-1103 | 2010-09-23 |
| 1457721532 | Haley D Kostecki | Physician Assistant | 318 Us Highway 51 N, Dongola, IL 62926-1103 | 2015-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376851410 | Cheryl A Fuller | Nurse Practitioner | 318 Us Highway 51 N, Dongola, IL 62926-1103 | 2010-09-23 |
| 1104096932 | Dongola Sch Unit Dist 66 | Clinic/Center | 1000 High St., Dongola, IL 62926-0190 | 2008-03-07 |
| 1366506628 | Rural Health, Inc. | Clinic/Center | 318 N Us Highway 51, Dongola, IL 62926 | 2006-12-21 |
| 1457721532 | Haley D Kostecki | Physician Assistant | 318 Us Highway 51 N, Dongola, IL 62926-1103 | 2015-10-01 |
| 1154597698 | Dongola School Unit Dist 66 | Clinic/Center | 1000 High Street, Dongola, IL 62926 | 2008-05-05 |
| 1194947770 | Dongola Sch Unit Dist 66 | Clinic/Center | 1000 High Street, Dongola, IL 62926 | 2007-05-03 |
| 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 |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1497354104 | Lola Sanders | Massage Therapist | 844 Wilshire Dr, Belleville, IL 62223-2623 | 2020-10-22 |
| 1003415001 | Amanda L Klimczak | Massage Therapist | 1231 Ridgeland Ave, Berwyn, IL 60402-1142 | 2020-10-21 |
| 1093314148 | Jody Lee Hazel | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
| 1194323352 | Vanina Barnett | Massage Therapist | 112 Sussex Cir, Schaumburg, IL 60193-1835 | 2020-10-10 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1407463029 | Danielle Wright | Massage Therapist | 132 S Water St Ste 430, Decatur, IL 62523-2305 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1780291872 | Jennifer Marshall | Massage Therapist | 6920 W 110th St, Worth, IL 60482-1425 | 2020-09-23 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
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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.