JENNIFER MCQUADE WILSON


Address: 1153 Ne Cleveland St, Clearwater, FL 33755-4815
Phone: 7275996772

JENNIFER MCQUADE WILSON (NPI# 1659627578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659627578
Entity Type Individual
Full Name JENNIFER MCQUADE WILSON
Credential LMT
Practice Address 1153 Ne Cleveland St
Clearwater
FL 33755-4815
Mailing Address 3232 Coventry N
Safety Harbor
FL 34695-4807
Practice Telephone 7275996772
Mailing Telephone 7275996772
Enumeration Date 2012-07-29
Last Update Date 2012-07-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MA37275 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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Office Location

Street Address 1153 NE CLEVELAND ST
City CLEARWATER
State FL
Zip Code 33755-4815

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861858987 Leslie S Coley Specialist 1484 Gulf To Bay Blvd Unit 4, Clearwater, FL 33755 2016-01-05
1336567981 Trish French Social Worker 117 N Betty Ln, Clearwater, FL 33755 2014-04-01
1255629986 Gulf Coast Occupational & Wellness Center, P.C. Clinic/Center 1407 Gulf -to-bay Blvd., Clearwater, FL 33755 2011-07-15
1346560729 Narconon Suncoast, Inc Substance Abuse Rehabilitation Facility 1390 Sunset Point Road, Clearwater, FL 33755 2010-06-08
1588994503 Rose Mary Baker Custodial Care Facility 1305 Woodbine St, Clearwater, FL 33755 2010-01-14
1407185317 Ade Kanmbi Alaba Pharmacist 1438 Gulf-to-bay Blvd, Clearwater, FL 33755 2009-12-24
1184706921 Brandy Jo Jennings Dental Hygienist 1455 Sunset Point Road, Clearwater, FL 33755 2006-10-20
1922013408 Hays S Estes Dpt Pllc Clinic/Center 1661 Rainbow Dr, Clearwater, FL 33755 2006-07-30
1932145323 Eric Isaac Egozi Plastic Surgery 1608 Gulf To Bay Blvd, Clearwater, FL 33755 2006-06-22
1053304022 Robert Donnelly Orthopaedic Surgery 1660 Gulf To Bay Blvd, Clearwater, FL 33755 2005-08-25
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740893676 Anthony Johnson Massage Therapist 25350 Us Highway 19 N Apt 212, Clearwater, FL 33763-2125 2020-08-29
1326689795 Jesse Sprague Massage Therapist 2561 Harn Blvd Unit 6, Clearwater, FL 33764-5133 2019-10-07
1508381948 Michelle Alexandria Brown Massage Therapist 2431 Estancia Blvd Ste A2, Clearwater, FL 33761-2608 2017-08-07
1114442597 Candy Kibert Massage Therapist 2637 Mccormick Dr Ste 102, Clearwater, FL 33759-1034 2017-08-07
1720485576 Claude Hooten IIi Massage Therapist 641 1/2 Mandalay Ave, Clearwater, FL 33767-1523 2014-11-21
1972924397 Melissa Elaine Loera Massage Therapist 2936 Drew St, Apt. 1323, Clearwater, FL 33759-3055 2014-01-02
1578903779 Susan Marie Pelletier Massage Therapist 721 Lakeview Rd, Suite E, Clearwater, FL 33756-3422 2013-07-02
1629354329 Cathy Friedman-kamhi Massage Therapist 16 N Fort Harrison Ave, Clearwater, FL 33755-4015 2011-10-25
1558640375 Steven Charles Lund Massage Therapist 1514 Midnight Pass Way, Clearwater, FL 33765-1818 2011-08-10
1255628293 Deonna Lea Bouska Massage Therapist 18542 Driftwood Rd, Clearwater, MN 55320-1617 2011-06-28
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Competitor

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City CLEARWATER
Zip Code 33755

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Dataset Information

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.

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