MRS. TELECIA WALKER (NPI# 1700374618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700374618 |
| Entity Type | Individual |
| Full Name | MRS. TELECIA WALKER |
| Other Name | MRS. TELECIA BOUTWELL ELLIS |
| Credential | LMT, CPC, MMP |
| Practice Address |
1720 W. Fairfield Dr. Ste 309 Pensacola FL 32501 |
| Practice Telephone | 8502077599 |
| Mailing Telephone | 8502077599 |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2020-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA90478 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | M05790 | MD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1720 W. FAIRFIELD DR. STE 309 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| 1629262084 | East Hill Dental Care Pl | Dentist | 1315 E Cervantes St, Pensacola, FL 32501 | 2007-08-29 |
| Find all providers in zip 32501 | ||||
| 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 |
|---|---|---|---|---|
| 1427655836 | Amber Lynn Motley | Massage Therapist | 310 E Government St Ste A-3, Pensacola, FL 32502-6507 | 2020-10-08 |
| 1962015198 | Evonne C Woycitzky | Massage Therapist | 426 Tree Swallow Dr, Pensacola, FL 32503-9000 | 2020-08-27 |
| 1245861335 | Amanda Monique Leanne Smith | Massage Therapist | 4400 Bayou Blvd Ste 26b, Pensacola, FL 32503-1908 | 2020-01-28 |
| 1740829522 | Serina Shanell Stutler | Massage Therapist | 7 S Warrington Rd Ste A3, Pensacola, FL 32507-1065 | 2019-12-27 |
| 1710483904 | Eric St. Pierre | Massage Therapist | 4305 Spanish Trl # Rr, Pensacola, FL 32504-4942 | 2018-04-05 |
| 1558807545 | Carlotta Coleman Andrews | Massage Therapist | 7 S New Warrington Rd Ste A3, Pensacola, FL 32507-1065 | 2017-01-13 |
| 1063958619 | Tamala A. Allen | Massage Therapist | 1720 W Fairfield Drive, 312, Pensacola, FL 32501-1052 | 2017-01-06 |
| 1467809467 | Chappell Kettleman | Massage Therapist | 1040 E Olive Rd, Apt 412, Pensacola, FL 32514-4861 | 2016-05-19 |
| 1518378595 | Bryan Jeffrey Allen | Massage Therapist | 209 Betty Rd, Pensacola, FL 32507-2307 | 2014-05-13 |
| 1093054207 | Perfect Touch Massage & Spa | Massage Therapist | 1601 W Garden St, Pensacola, FL 32502-4413 | 2013-02-07 |
| Find all providers in PENSACOLA | ||||
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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.