SPORTS MASSAGE MARIN (NPI# 1588106942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588106942 |
| Entity Type | Organization |
| Organization Name | SPORTS MASSAGE MARIN |
| Practice Address |
645 Tamalpais Dr Corte Madera CA 94925-1613 |
| Practice Telephone | 4153100878 |
| Mailing Telephone | 4153100878 |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2016-11-15 |
| Authorized Official Name | STEFAN SMITH (GENERAL PARTNER) |
| Authorized Official Telephone | 4153100878 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
645 TAMALPAIS DR |
| City | CORTE MADERA |
| State | CA |
| Zip Code | 94925-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740215557 | Suzanne Hanson | Chiropractor | 645 Tamalpais Dr, Corte Madera, CA 94925-1613 | 2006-07-11 |
| 1093321366 | Jennifer Louise Fredenburg | Speech-Language Pathologist | 645 Tamalpais Dr, Corte Madera, CA 94925-1613 | 2020-09-21 |
| 1598251159 | Jessica Liliana Quiroz Zuniga | Massage Therapist | 645 Tamalpais Dr, Corte Madera, CA 94925-1613 | 2018-07-06 |
| 1417482084 | Steven S Bordunov | Chiropractor | 645 Tamalpais Dr, Corte Madera, CA 94925-1613 | 2017-04-20 |
| 1790033793 | Denise Genevieve Santos Ford | Speech-Language Pathologist | 645 Tamalpais Dr, Suite E, Corte Madera, CA 94925-1613 | 2012-08-22 |
| 1861784621 | Jean-louis Richiardone | Acupuncturist | 645 Tamalpais Dr, Suite D, Corte Madera, CA 94925-1613 | 2011-05-11 |
| 1841511599 | Martha G Saul | Marriage & Family Therapist | 645 Tamalpais Dr, Suite D, Corte Madera, CA 94925-1613 | 2010-06-17 |
| 1033229455 | Suzanne B. Hanson Dc A Chiropractic Corporation | Preferred Provider Organization | 645 Tamalpais Dr, Corte Madera, CA 94925-1613 | 2006-08-30 |
| 1841305588 | Darcy Oikawa | Chiropractor | 645 Tamalpais Dr, Corte Madera, CA 94925-1613 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386139061 | California Center for Ms and Neurology Inc | Psychiatry & Neurology | 21 Tamal Vista Blvd Ste 175, Corte Madera, CA 94925 | 2018-06-26 |
| 1982130514 | Summer Nipomnick | Psychologist | 200 Tamal Plaza, Suite 235, Corte Madera, CA 94925 | 2017-05-02 |
| 1376784561 | Marcie Morton | Chiropractor | 2 Fifer Ave Ste 130, Corte Madera, CA 94925 | 2009-03-17 |
| 1154598365 | Kristine Kay Twite Lehnen | Registered Nurse | 42 Creekside Ct, Corte Madera, CA 94925 | 2008-05-15 |
| 1811163884 | Susan Mary Nickerson | Nurse Anesthetist, Certified Registered | 239 Koch Rd, Corte Madera, CA 94925 | 2008-04-30 |
| 1225150485 | Noreen P Dunnigan | Marriage & Family Therapist | 200 Tamal Plaza, Ste 135, Corte Madera, CA 94925 | 2007-04-06 |
| 1356477889 | Rochelle L Teising | Marriage & Family Therapist | 100 Tamal Vista, #160, Corte Madera, CA 94925 | 2007-02-26 |
| 1518019181 | Lynne Harris | Psychologist | 100 Tamal Plaza, Suite 108, Corte Madera, CA 94925 | 2007-01-17 |
| 1801975032 | Julie B Young | Dentist | 81 Casa Buena, Suite 6, Corte Madera, CA 94925 | 2006-11-06 |
| 1033294020 | Ann Margaret O'hare | Internal Medicine | 155 Golden Hind Passage, Corte Madera, CA 94925 | 2006-10-26 |
| Find all providers in zip 94925 | ||||
| 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 |
|---|---|---|---|---|
| 1598251159 | Jessica Liliana Quiroz Zuniga | Massage Therapist | 645 Tamalpais Dr, Corte Madera, CA 94925-1613 | 2018-07-06 |
| 1841640935 | Mindy L Zimmerman | Massage Therapist | 45 San Clemente Dr, Suite D100a, Corte Madera, CA 94925-1244 | 2016-06-20 |
| 1902280043 | Michael Westgate | Massage Therapist | 150 Nellen Ave, Suite 200, Corte Madera, CA 94925-1104 | 2015-07-18 |
| 1881954626 | Thomas Friedrich | Massage Therapist | 45 San Clemente Dr, Suite D130, Corte Madera, CA 94925-1244 | 2012-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1528669348 | Matthew P Martinez | Massage Therapist | 417 N Citrus Ave Apt 7, Escondido, CA 92027-2765 | 2020-11-06 |
| 1841891603 | Jenni Asher | Massage Therapist | 5425 1/2 Vantage Avenue, Valley Village, CA 91607 | 2020-11-06 |
| 1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
| 1023619079 | Reanna Whitnall | Massage Therapist | 9950 Campo Rd Ste 204, Spring Valley, CA 91977-1629 | 2020-11-05 |
| 1073114252 | Briana Hill | Massage Therapist | 2203 San Remo Cir, Vista, CA 92084-7727 | 2020-11-04 |
| 1770184954 | Michelle Ann Moeller | Massage Therapist | 5648 Oak Grove Ave, Oakland, CA 94618-1243 | 2020-11-04 |
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1194326553 | Suzanne Romero | Massage Therapist | 411 Alvarado St Apt 201, Monterey, CA 93940-2710 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
| City | CORTE MADERA |
| Zip Code | 94925 |
Please comment or provide details below to improve the information on SPORTS MASSAGE MARIN.
| 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.