PATTY RAELENE WILSON (NPI# 1598268567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598268567 |
Entity Type | Individual |
Full Name | PATTY RAELENE WILSON |
Credential | MASSAGE THERAPIST |
Practice Address |
301 N Main St Ste 301 Pueblo CO 81003-3259 |
Mailing Address |
2271 Oletta Ln Pueblo CO 81006-1648 |
Practice Telephone | 7196714317 |
Mailing Telephone | 7196714317 |
Enumeration Date | 2018-03-15 |
Last Update Date | 2018-03-15 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT.0013933 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124574959 | Patty Wilson | Counselor | 2555 E. Wood Street, Paris, TN 38242 | 2016-08-31 |
1932387800 | Patty J. Wilson | Counselor | 100 Morgan Branch Estates, Candler, NC 28715 | 2008-02-04 |
1679042790 | Patty R. Wilson | Nurse Practitioner | 1011 N Charles St Ste 1, Baltimore, MD 21201-5416 | 2018-11-19 |
1225263882 | Patty K Wilson | Counselor | 425 N Oak St, North Platte, NE 69101-3764 | 2009-05-26 |
1720046584 | Patty J Wilson | Nurse Practitioner | 1001 Johnson Ferry Rd Ne, Atlanta, GA 30342-1605 | 2006-05-02 |
Street Address |
301 N MAIN ST STE 301 |
City | PUEBLO |
State | CO |
Zip Code | 81003-3259 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164042016 | Sunil Kumar | Student in an Organized Health Care Education/Training Program | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2020-04-21 |
1497382303 | Pueblo Family Dentistry Pllc | Dentist | 701 N Grand Avenue, Suite B, Pueblo, CO 81003 | 2020-03-23 |
1023654241 | Elmer A. Villalon, Dmd, LLC | Clinic/Center | 1225 North Main Street, #207, Pueblo, CO 81003 | 2019-11-22 |
1518434349 | Mariam Rahim | Internal Medicine | Parkview Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-10-30 |
1003308222 | Julia Mcneice | Internal Medicine | Parkview Medial Center, Parkveiw Adult Medicine Clinic, 311 West 14th Street, Pueblo, CO 81003 | 2018-06-04 |
1689164857 | Jessica Sels | Internal Medicine | Parkview Medical Center Adult Medicine Clinic, 311 W 14th St, Pueblo, CO 81003 | 2018-05-14 |
1700313459 | Allison Vigil | Occupational Therapist | 1600 W. 24th St, Pueblo, CO 81003 | 2017-05-12 |
1245682020 | Paul S Bongat | Internal Medicine | 411 W. 14th St., Parkview Adult Medicine Clinic, Pueblo, CO 81003 | 2016-07-06 |
1013368596 | Daniel R Long | Internal Medicine | 411 West 14th Street, Pueblo, CO 81003 | 2016-06-27 |
1396195665 | Parkview Medical Center | General Acute Care Hospital | 411 W. 14th St, Pueblo, CO 81003 | 2016-06-17 |
Find all providers in zip 81003 |
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 |
---|---|---|---|---|
1225645286 | Laura Leeanne Jimison | Massage Therapist | 3933 Elk Ln, Pueblo, CO 81005-3095 | 2020-09-24 |
1881236529 | Jennifer Noel Klipfel | Massage Therapist | 356 S Mcculloch Blvd Ste 106b, Pueblo, CO 81007-2847 | 2019-10-15 |
1255805842 | Bryan S Dewar | Massage Therapist | 21 Macalester Rd, Pueblo, CO 81001-2009 | 2019-01-16 |
1275017873 | Oliver Gahlen Crawford Jr. | Massage Therapist | 2025 N Norwood Ave Ste B, Pueblo, CO 81001-5668 | 2018-09-19 |
1972081693 | Angela Kaye Matthews | Massage Therapist | 3915 Outlook Blvd Ste C1, Pueblo, CO 81008-2604 | 2018-08-03 |
1932686698 | Leah Urrutia | Massage Therapist | 517 W 5th St Ste 109, Pueblo, CO 81003-3186 | 2018-07-25 |
1609362243 | Ee Bean Hiam | Massage Therapist | 63 E Spaulding Ave # W113, Pueblo, CO 81007-5416 | 2018-07-06 |
1568976835 | Nicole Laureano | Massage Therapist | 3911 Outlook Blvd Ste B, Pueblo, CO 81008-1624 | 2017-11-25 |
1891208385 | Amgelique Garcia | Massage Therapist | 2033 Pepper Ln, Pueblo, CO 81005-3276 | 2017-11-07 |
1780194886 | Nevis Ann Edwards | Massage Therapist | 2520 S Prairie Ave, Pueblo, CO 81005-3169 | 2017-10-04 |
Find all providers in PUEBLO |
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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.