GREEN PASTURES STILL WATERS MASSAGE THERAPY & SPA (NPI# 1568850451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568850451 |
| Entity Type | Organization |
| Organization Name | GREEN PASTURES STILL WATERS MASSAGE THERAPY & SPA |
| Practice Address |
142 Lorelee Dr Tonawanda NY 14150-4325 |
| Practice Telephone | 7164350020 |
| Mailing Telephone | 7164350020 |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |
| Authorized Official Name | LAURA LOUISE ZIMBERG (OWNER/LMT) |
| Authorized Official Telephone | 7164350020 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 018786 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI - INDIVIDUAL | 1225201437 | 01 |
| NY | NYS LMT LICENSE | 018786 | 01 |
| Street Address |
142 LORELEE DR |
| City | TONAWANDA |
| State | NY |
| Zip Code | 14150-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316487424 | Deena Noetzel | Dietitian, Registered | 142 Lorelee Dr, Tonawanda, NY 14150-4325 | 2017-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891349338 | Jennifer Legrand | Dietitian, Registered | 62 Raintree Is Apt 10, Tonawanda, NY 14150 | 2019-08-01 |
| 1245707934 | Anthony John Dellavalle | Emergency Medicine | 341 Niagara Street, Tonawanda, NY 14150 | 2018-10-31 |
| 1871088450 | Karen Mittlefehldt | Physical Therapist | 2540 Sheridan Drive, Tonawanda, NY 14150 | 2018-06-26 |
| 1871017194 | Amanda Beth Mrzygut | Emergency Medical Technician, Basic | 269 Mapleview Dr, Tonawanda, NY 14150 | 2017-07-28 |
| 1700248648 | Nathan Willett | Technician, Other | 432 Forbes Ave., Tonawanda, NY 14150 | 2016-03-21 |
| 1831555432 | Safe Ride of Wny Inc | Taxi | 2813 Niagara St, Tonawanda, NY 14150 | 2016-01-12 |
| 1447509278 | Nancy Lynne Haas | Licensed Practical Nurse | 173 Linwood Ave, Tonawanda, NY 14150 | 2012-09-07 |
| 1558646331 | Nancy Cliff | Registered Nurse | 39 O'hara Rd, Tonawanda, NY 14150 | 2011-10-12 |
| 1801195979 | Joann Mirabella | Speech-Language Pathologist | 313 Wrexham Ct. North, Tonawanda, NY 14150 | 2011-03-15 |
| 1841593829 | Marie A Burger | Social Worker | 130 Syracuse St., Tonawanda, NY 14150 | 2010-12-13 |
| Find all providers in zip 14150 | ||||
| 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 |
|---|---|---|---|---|
| 1346700705 | Andriana Andolina | Massage Therapist | 477 Englewood Ave, Tonawanda, NY 14223-2862 | 2019-03-21 |
| 1124452768 | Karmynn Leezandra Burris | Massage Therapist | 431 Young St, Tonawanda, NY 14150-4038 | 2013-08-31 |
| 1467767632 | Jacqueline Bontzolakes | Massage Therapist | 2696 Sheridan Dr, Suite E and F, Tonawanda, NY 14150-9441 | 2010-08-12 |
| 1871764829 | Erin Michelle Russo | Massage Therapist | 191 Delaware St, Tonawanda, NY 14150-3519 | 2008-03-18 |
| 1740837822 | Rachel L Knauff | Massage Therapist | 57 Main St, Tonawanda, NY 14150-2133 | 2019-08-22 |
| 1275084105 | Melissa Ann Kroneiss | Massage Therapist | 1540 Ellicott Creek Rd, Tonawanda, NY 14150-2935 | 2016-10-15 |
| 1669614129 | Myra J Normandin | Massage Therapist | 134 Franklin St, Tonawanda, NY 14150-3842 | 2009-03-30 |
| 1649377227 | Wendy V Lane | Massage Therapist | 4080 Delaware Ave, Tonawanda, NY 14150-6848 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.