TISHUN MARTIN (NPI# 1568893758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568893758 |
| Entity Type | Individual |
| Full Name | TISHUN MARTIN |
| Credential | LMT |
| Practice Address |
6290 Abbotts Bridge Rd Suite 204 Johns Creek GA 30097 |
| Practice Telephone | 7705594236 |
| Practice Fax Number | 7705594795 |
| Mailing Telephone | 7705594236 |
| Mailing Fax Number | 7705594795 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT008680 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6290 ABBOTTS BRIDGE RD SUITE 204 |
| City | JOHNS CREEK |
| State | GA |
| Zip Code | 30097 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588071161 | Nicole Lee Stein | Massage Therapist | 6290 Abbotts Bridge Rd, Suite 204, Johns Creek, GA 30097 | 2014-07-16 |
| 1548682636 | Chandler Ross Turnipseed | Chiropractor | 6290 Abbotts Bridge Rd, Suite 204, Johns Creek, GA 30097-8495 | 2014-01-09 |
| 1659542736 | Jong Won Lee | Chiropractor | 6290 Abbotts Bridge Rd, Suite 204, Johns Creek, GA 30097-8495 | 2008-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| 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 |
|---|---|---|---|---|
| 1992273379 | Danielle Moore | Massage Therapist | 230 Kirkton Knls, Johns Creek, GA 30022-7633 | 2018-11-05 |
| 1588071161 | Nicole Lee Stein | Massage Therapist | 6290 Abbotts Bridge Rd, Suite 204, Johns Creek, GA 30097 | 2014-07-16 |
| 1669768461 | Diana Reeves | Massage Therapist | 11720 Medlock Bridge Rd, Johns Creek, GA 30097-1509 | 2011-06-21 |
| 1144534058 | Verona Howard | Massage Therapist | 11720 Medlock Bridge Rd, Johns Creek, GA 30097-1509 | 2010-08-03 |
| 1679887582 | Katherine Hawkins | Massage Therapist | 11720 Medlock Bridge Rd, Johns Creek, GA 30097-1509 | 2010-08-03 |
| 1427362326 | Cassandre Bosse | Massage Therapist | 11720 Medlock Bridge Rd, Johns Creek, GA 30097-1509 | 2010-08-03 |
| 1194039008 | Marcy Carr | Massage Therapist | 11720 Medlock Bridge Rd, Johns Creek, GA 30097-1509 | 2010-08-03 |
| 1811200926 | Dcc Optimum Investments, Inc | Massage Therapist | 11720 Medlock Bridge Rd, Johns Creek, GA 30097-1509 | 2010-07-17 |
| 1548573652 | Elizabeth Mosca | Massage Therapist | 11720 Medlock Bridge Rd, Johns Creek, GA 30097-1509 | 2010-07-17 |
| 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 | JOHNS CREEK |
| Zip Code | 30097 |
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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.