MARY GIBSON DUNN (NPI# 1619446150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619446150 |
Entity Type | Individual |
Full Name | MARY GIBSON DUNN |
Credential | LMT |
Practice Address |
6884 Hickory Flat Hwy Woodstock GA 30188-3229 |
Mailing Address |
2052 Township Dr Woodstock GA 30189-5284 |
Practice Telephone | 7707048244 |
Mailing Telephone | 8593384656 |
Enumeration Date | 2018-11-14 |
Last Update Date | 2018-11-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT010096 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598237547 | Mary Beth Dunn | Physical Therapy Assistant | 5420 Cypress Links Blvd, Elkton, FL 32033-4022 | 2018-12-31 |
1437442076 | Mary Franice Dunn | Nurse Practitioner | 2222 E. Highland Ave Ste. 220, Kronos Longevity Research Institute, Phoenix, AZ 85016-4876 | 2011-05-16 |
1295045565 | Mary Ann Dunn | Dental Hygienist | 1001 Rio Vista Dr., C/o Fthc - Dental, Fallon, NV 89406 | 2010-10-20 |
1477737500 | Mary Elizabeth Dunn | Dentist | 2733 Wehrle Dr Ste 300, Williamsville, NY 14221-7348 | 2007-12-26 |
1003802802 | Mary Susan Dunn | Physical Therapist | 10321 Champion Farms Dr, Louisville, KY 40241-6129 | 2005-09-27 |
1073516779 | Mary Catherine Dunn | Nurse Practitioner | 2601 Bransford Ave Ell Office, Nashville, TN 37204 | 2005-05-27 |
1740715465 | Mary Dunn | Registered Nurse | 99 Tavern Rd, Martinsburg, WV 25401-2890 | 2017-05-01 |
1922463009 | Mary Beth Dunn | Advanced Practice Midwife | 1080 Neal St Ste 200, Cookeville, TN 38501-0944 | 2015-12-16 |
1164827713 | Mary Ellen Dunn | Counselor | 575 E Plumb Ln, Reno, NV 89502-3540 | 2014-10-24 |
1184027708 | Mary Dunn | Speech-Language Pathologist | 4747 290th St, Toledo, OH 43611-1961 | 2014-09-28 |
Street Address |
6884 HICKORY FLAT HWY |
City | WOODSTOCK |
State | GA |
Zip Code | 30188-3229 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093746638 | Burton William Stevens Jr. | Physical Therapist | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2006-07-05 |
1619502606 | Kathy Rosemary Menard | Massage Therapist | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2020-03-10 |
1134772510 | Jean Marie Peters | Physical Therapist | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2019-07-24 |
1629539218 | Nicole Martz Johnson | Massage Therapist | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2019-03-27 |
1164987889 | Amy Tice | Physical Therapist | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2019-02-06 |
1780002451 | Danielle Beatty | Physical Therapist | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2014-03-31 |
1083861785 | Soar Physical Therapy, Inc | Clinic/Center | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2008-08-25 |
1508088584 | Victoria Lyn Russell | Occupational Therapist | 6884 Hickory Flat Hwy, Woodstock, GA 30188-3229 | 2007-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
Find all providers in zip 30188 |
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 |
---|---|---|---|---|
1710585799 | Brittany Monique O'neil | Massage Therapist | 94 W Hurley Rd Apt 4, Woodstock, NY 12498-1849 | 2020-10-13 |
1306450994 | Genaro Flores | Massage Therapist | 530 E Judd St, Woodstock, IL 60098-3422 | 2020-09-01 |
1144833138 | Alexander Adamczyk | Massage Therapist | 4051 Watkins Glen Dr, Woodstock, GA 30189-1420 | 2020-08-28 |
1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
1982064614 | Corey Vander Veen | Massage Therapist | 808 Mount Glen Ln, Woodstock, GA 30188-3171 | 2016-02-23 |
1629437371 | Jameson Roy | Massage Therapist | 3006 River Station Dr, Woodstock, GA 30188-5901 | 2016-02-22 |
1528426004 | Theresa Figueiredo | Massage Therapist | 4 Deming St, Woodstock, NY 12498-1502 | 2016-01-29 |
1093100133 | Gilberto Pena Jr. | Massage Therapist | 4994 Willow Creek Dr, Woodstock, GA 30188-4375 | 2015-04-06 |
1891004842 | Be Vulnerable, Inc | Massage Therapist | 303 Hickory Ridge Trl, Ste 170, Woodstock, GA 30188-6818 | 2010-09-24 |
1467771956 | Richard Raoul Monet | Massage Therapist | 425 Creekside Ln, Woodstock, GA 30188-4163 | 2010-05-23 |
Find all providers in WOODSTOCK |
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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.