GLORIA JEAN SHACKELFORD (NPI# 1609261056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609261056 |
| Entity Type | Individual |
| Full Name | GLORIA JEAN SHACKELFORD |
| Practice Address |
114 W Orange St Wauchula FL 33873 |
| Mailing Address |
114 W Orange St Wauchula FL 33873-2826 |
| Practice Telephone | 8637735646 |
| Mailing Telephone | 8637735646 |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2015-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA33289 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
114 W ORANGE ST |
| City | WAUCHULA |
| State | FL |
| Zip Code | 33873 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134668726 | Davinci Healthcare Management, Inc | In Home Supportive Care | 1772 Doyle Carlton Road, Wauchula, FL 33873 | 2017-02-16 |
| 1790116911 | Central Florida Health Care, Inc. | Clinic/Center | 121 Kd Revell Road, Wauchula, FL 33873 | 2013-12-13 |
| 1386902252 | Peaceful Mental Health Asociate, LLC | Counselor | 105 South 9th Ave., Wauchula, FL 33873 | 2012-04-30 |
| 1962672105 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 301 S. 6th Ave, Wauchula, FL 33873 | 2008-03-04 |
| 1225249667 | Magali Bobe | Physical Therapist | 1330 Highway.17 South, Wauchula, FL 33873 | 2007-05-25 |
| 1285849075 | Dentalcentre of West Fl. Pa | Dentist | 203 South 7th Ave, Wauchula, FL 33873 | 2007-05-14 |
| 1275680324 | Douglas Oliver Smith | Occupational Therapist | 1330 Highway 17 South, Wauchula, FL 33873 | 2007-01-04 |
| 1649354713 | Hardee Countyboard of County Commissioners | Ambulance | 149 Kd Revell Rd, Wauchula, FL 33873 | 2006-10-25 |
| 1194810879 | John Ash | Case Manager/Care Coordinator | 213 E Orange Street, Suite B Peace River Center, Wauchula, FL 33873 | 2006-10-04 |
| 1225135353 | Sf IIi Tlf, LLC | Rehabilitation Hospital | 1962 Vandolah Road, Wauchula, FL 33873 | 2006-09-20 |
| Find all providers in zip 33873 | ||||
| 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 |
|---|---|---|---|---|
| 1083994875 | Lucy Jayne Matos | Massage Therapist | 1380 Painter Rd, Wauchula, FL 33873-4342 | 2011-08-24 |
| 1669591368 | Yvonne Dupree Abbott | Massage Therapist | 315 S Florida Ave, Wauchula, FL 33873-3025 | 2007-03-27 |
| 1023419819 | Professional Massage Therapy | Massage Therapist | 212 W Main St, Wauchula, FL 33873-2822 | 2014-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598204 | Zenus Annzarie Goodyard | Massage Therapist | 3076 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3246 | 2020-11-03 |
| 1558962886 | Felicia Warner | Massage Therapist | 2750 Cypress Trace Cir Apt 2620, Naples, FL 34119-8077 | 2020-11-03 |
| 1497355184 | Ashley Feehan | Massage Therapist | 32806 Lister Rd, Dade City, FL 33523-6413 | 2020-10-30 |
| 1932709904 | Franchesca Bairam | Massage Therapist | 206 37th Ave N, Saint Petersburg, FL 33704-1416 | 2020-10-29 |
| 1679173538 | Benson Tong | Massage Therapist | 3530 1st Ave N Ste 206, Saint Petersburg, FL 33713-8442 | 2020-10-29 |
| 1801496989 | Alivia L Mckamey | Massage Therapist | 533 Nw 28th St, Gainesville, FL 32607-2512 | 2020-10-28 |
| 1992305189 | Julie Accorti | Massage Therapist | 36 Memorial Pkwy Sw, Fort Walton Beach, FL 32548-6512 | 2020-10-28 |
| 1487254785 | Rigoberto Rosa | Massage Therapist | 51 Ne 24th St, Miami, FL 33137-5385 | 2020-10-27 |
| 1982204392 | Cindy Figh | Massage Therapist | 11408 Coventry Grove Cir, Lithia, FL 33547-4929 | 2020-10-27 |
| 1639778152 | Megan A Chapman | Massage Therapist | 1504 Ringmore Ct, Dover, FL 33527-4960 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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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.