MS. MARILYN SANDRA BOTTA (NPI# 1588959480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588959480 |
Entity Type | Individual |
Full Name | MS. MARILYN SANDRA BOTTA |
Other Name | MS. MARILYN SANDRA BOTTA |
Credential | MARILYN BOTTA |
Practice Address |
304 Caldwell Cir Augusta GA 30909-5728 |
Practice Telephone | 7062315008 |
Mailing Telephone | 7062315008 |
Enumeration Date | 2011-06-20 |
Last Update Date | 2011-09-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT006157 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
304 CALDWELL CIR |
City | AUGUSTA |
State | GA |
Zip Code | 30909-5728 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912513888 | Lauran Simpson | Behavior Technician | 1237 Augusta West Parkway, Augusta, GA 30909 | 2020-09-16 |
1487273884 | Still Perspectives Counseling LLC | Counselor | 1265 Inerstate Prwy, Suite B, Augusta, GA 30909 | 2020-04-15 |
1598397838 | Mjra Medical LLC | Psychologist | 3675 J Dewey Gray Cr Ste 300, Augusta, GA 30909 | 2020-02-05 |
1003452319 | Danny Robinson | Counselor | 2609 Commons Boulevard, Augusta, GA 30909 | 2019-11-21 |
1407498637 | Candice M Cruse | Social Worker | 2609 Commons Blvd, Augusta, GA 30909 | 2019-10-09 |
1902363385 | Mary D Jodon | Pharmacist | 3338 Wrightsboro Rd., Augusta, GA 30909 | 2019-02-21 |
1447790514 | Burn Critical Care Associates, LLC | Internal Medicine | 3614 J. Dewey Gray Circle, Bldg B., Augusta, GA 30909 | 2017-03-08 |
1124561766 | Sasha Latara Mccraw | Counselor | 7303 Palomino Court, Augusta, GA 30909 | 2016-11-30 |
1174974620 | Warren Umansky, Ph.d. | Psychologist | 302 Wheeler Executive Ctr, Augusta, GA 30909 | 2016-06-27 |
1811358955 | Theodora Mcleskey | Nurse Practitioner | 1215 George C. Wilson Drive, Augusta, GA 30909 | 2016-03-17 |
Find all providers in zip 30909 |
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 |
---|---|---|---|---|
1568079390 | Benjamin Carde | Massage Therapist | 149 Davis Rd Ste F, Augusta, GA 30907-5072 | 2020-09-25 |
1851911218 | Elisia Mike-harper | Massage Therapist | 3540 Wheeler Rd Ste 314, Augusta, GA 30909-1885 | 2020-04-25 |
1437779055 | Tina Houston | Massage Therapist | 1210 Holden Dr, Augusta, GA 30904-3831 | 2020-04-23 |
1912541335 | Intrgrity Mrdical Massage | Massage Therapist | 701 Macon Ave, Augusta, GA 30901-1843 | 2019-10-29 |
1730534280 | Michelle Burt | Massage Therapist | 3006 Carswell Dr, Augusta, GA 30909-9752 | 2016-05-03 |
1013327147 | Tonjyanikkia Wright | Massage Therapist | 3240 Peach Orchard Rd, Ste-a, Augusta, GA 30906-5900 | 2014-04-28 |
1912321894 | Demekia Binion | Massage Therapist | 3685 Old Petersburg Rd Ste 100, Augusta, GA 30907-0827 | 2014-02-12 |
1376896126 | Lisa D. Merrick | Massage Therapist | 4101 Old Petersburg Rd Apt G55, Augusta, GA 30907-0728 | 2012-10-17 |
1811270861 | Laurie Lynn Pratt | Massage Therapist | 106 Pleasant Home Rd, Suite 2d, Augusta, GA 30907-0500 | 2011-09-26 |
1538471552 | Dorothy Chris Holmes | Massage Therapist | 4053 Jimmy Dyess Pkwy Ste B, Augusta, GA 30909-9472 | 2010-07-07 |
Find all providers in AUGUSTA |
Please comment or provide details below to improve the information on MS. MARILYN SANDRA BOTTA.
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.