KATHE ANGELL (NPI# 1649585506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649585506 |
Entity Type | Individual |
Full Name | KATHE ANGELL |
Credential | LMT |
Practice Address |
608 Marlene Dr Holly Hill FL 32117-3451 |
Mailing Address |
Po Box 238347 Port Orange FL 32123-8347 |
Practice Telephone | 3864530250 |
Mailing Telephone | 3864530250 |
Enumeration Date | 2010-08-16 |
Last Update Date | 2010-08-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA18957 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | STATE LICENSE | MA18957 | 01 |
Street Address |
608 MARLENE DR |
City | HOLLY HILL |
State | FL |
Zip Code | 32117-3451 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
Find all providers in zip 32117 |
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 |
---|---|---|---|---|
1619583150 | Thomas Walker | Massage Therapist | 101 2nd St Ste 302, Holly Hill, FL 32117-4903 | 2020-09-21 |
1104066422 | Wayne S Downer | Massage Therapist | 204 Ridgewood Ave, Holly Hill, FL 32117 | 2009-02-26 |
1013161348 | Gregory Houston Neely | Massage Therapist | 240 Ridgewood Ave, Holly Hill, FL 32117-4944 | 2008-11-13 |
1144659251 | Min Arcieri | Massage Therapist | 721 Ridgewood Ave, Ste 11, Holly Hill, FL 32117-3646 | 2013-11-08 |
1083058663 | Betsy J Morrison | Massage Therapist | 240 Ridgewood Ave, New Age Touch, Holly Hill, FL 32117 | 2013-04-25 |
1225305337 | Maximo Ramon Cintron | Massage Therapist | 240 Ridgewood Ave, Holly Hill, FL 32117-4944 | 2011-11-18 |
1952678989 | Kyla Denise Fraley | Massage Therapist | 240 Ridgewood Ave, Holly Hill, FL 32117-4944 | 2011-11-18 |
1346545928 | Deborah L Smith | Massage Therapist | 240 Ridgewood Ave, Holly Hill, FL 32117-4944 | 2011-01-13 |
1942504758 | Kenneth W Smith | Massage Therapist | 240 Ridgewood Ave, Holly Hill, FL 32117-4944 | 2011-01-08 |
1790098267 | Krystal Shirley Haworth | Massage Therapist | 240 Ridgewood Ave, Holly Hill, FL 32117-4944 | 2010-07-26 |
Find all providers in HOLLY HILL |
City | HOLLY HILL |
Zip Code | 32117 |
Please comment or provide details below to improve the information on KATHE ANGELL.
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.