ALICIA ANN CRUSSE (NPI# 1609193598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609193598 |
| Entity Type | Individual |
| Full Name | ALICIA ANN CRUSSE |
| Credential | D.C. |
| Practice Address |
3855 Shallowford Rd Suite 510 Marietta GA 30062-4197 |
| Practice Telephone | 6784721993 |
| Mailing Telephone | 6784721993 |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2013-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CHIR008654 | GA | Chiropractic Providers |
| Street Address |
3855 SHALLOWFORD RD SUITE 510 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-4197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407038961 | Hilary Kinzler Delman | Counselor | 3855 Shallowford Rd, Suite 420, Marietta, GA 30062-4195 | 2007-11-27 |
| 1891234670 | Brace Mobility | Durable Medical Equipment & Medical Supplies | 3855 Shallowford Rd, Suite 515, Marietta, GA 30062-4195 | 2017-02-14 |
| 1043672678 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 3855 Shallowford Rd, 415, Marietta, GA 30062-4195 | 2016-03-23 |
| 1558760447 | Tyler Gene Miller | Physical Therapist | 3855 Shallowford Rd, Ste 415, Marietta, GA 30062-4195 | 2014-08-18 |
| 1265856025 | Robert Korthoff | Physical Therapist | 3855 Shallowford Rd, Suite 415, Marietta, GA 30062-4195 | 2014-02-13 |
| 1992048136 | Body Core Neuropathy & Spine Group | Chiropractor | 3855 Shallowford Rd, Suite 510, Marietta, GA 30062-4195 | 2013-04-05 |
| 1265770275 | Chj, Inc | Social Worker | 3855 Shallowford Rd, Suite 420, Marietta, GA 30062-4195 | 2013-01-25 |
| 1952623290 | Wendy H Deal | Counselor | 3855 Shallowford Rd, Suite 420, Marietta, GA 30062-4195 | 2010-02-26 |
| 1386819035 | Tiffany C Whittington | Counselor | 3855 Shallowford Rd, Suite 420, Marietta, GA 30062-4195 | 2008-04-24 |
| 1336318104 | Laura Anderson Graham | Counselor | 3855 Shallowford Rd, Suite 420, Marietta, GA 30062-4195 | 2008-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245249 | Aaron D Young | Chiropractor | 860 Baltimore Pl Sw, Marietta, GA 30064-3959 | 2020-11-05 |
| 1831790435 | Li Ma | Chiropractor | 376 Powder Springs St Ste 141, Marietta, GA 30064-3460 | 2020-11-02 |
| 1558977397 | Kristin Best | Chiropractor | 1189 Ashborough Dr Se Apt A, Marietta, GA 30067-6918 | 2020-09-17 |
| 1528677499 | Milan Modi | Chiropractor | 3225 Shallowford Rd Ste 700, Marietta, GA 30062-7026 | 2020-07-27 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1578199113 | Munntouya Hunt | Chiropractor | 2185 Palmyra Dr Se, Marietta, GA 30067-6681 | 2020-03-16 |
| 1851926083 | Nicholas Weston | Chiropractor | 2560 Delk Rd Se, Marietta, GA 30067-6323 | 2020-03-09 |
| 1003447418 | Nathan Bennett | Chiropractor | 3901 Mary Eliza Trce Nw Ste 201, Marietta, GA 30064-1096 | 2020-02-04 |
| 1285274480 | Cory Plasker | Chiropractor | 519b Johnson Ferry Road, Suite 350, Marietta, GA 30068 | 2020-01-15 |
| 1770129587 | Tuyet Thy Dang | Chiropractor | 2609 Deerfield Cir Sw, Marietta, GA 30064-4205 | 2019-11-27 |
| Find all providers in MARIETTA | ||||
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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.