MR. HAROLD EARL TULLOCK (NPI# 1720108905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720108905 |
| Entity Type | Individual |
| Full Name | MR. HAROLD EARL TULLOCK |
| Credential | LMT |
| Practice Address |
60 2nd St Ste. 203 Shalimar FL 32579-1769 |
| Mailing Address |
56 9th Ave Shalimar FL 32579-1344 |
| Practice Telephone | 8506512286 |
| Practice Fax Number | 8506512286 |
| Mailing Telephone | 8505434355 |
| Mailing Fax Number | 8506512286 |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA33743 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
60 2ND ST STE. 203 |
| City | SHALIMAR |
| State | FL |
| Zip Code | 32579-1769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942680566 | Julie Kristine Bloodworth | Speech-Language Pathologist | 60 2nd St, Ste 307, Shalimar, FL 32579-1769 | 2015-06-09 |
| 1740587674 | Christine Campbell | Massage Therapist | 60 2nd St, Suite 302, Shalimar, FL 32579-1769 | 2011-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407382278 | Rehabcare Group East, LLC | Clinic/Center | 1200 Hawthorne Hse Dr, Shalimar, FL 32579 | 2017-05-11 |
| 1952685570 | Gary Anthony Moeller | Dentist | 1 Eleventh Ave, Suite D-3, Shalimar, FL 32579 | 2011-09-30 |
| 1366538035 | Bradley Hamilton Young | Chiropractor | 6 11th Avenue, Suite H-3, Shalimar, FL 32579 | 2006-10-04 |
| 1932111564 | Shalimar Family Dentistry | Dentist | 1 Eleventh Avenue, D-3, Shalimar, FL 32579 | 2006-08-12 |
| 1972761757 | Dr Bradley H Young D C P A | Chiropractor | 6 11th Avenue, Suite H-3, Shalimar, FL 32579 | 2008-05-28 |
| 1528155413 | Howard T Goodpaster | Dentist | 1 Eleventh Avenue, Suite D3, Shclimar, FL 32579 | 2006-10-10 |
| 1912094830 | Lisa E Fletcher | Dentist | 1 Eleventh Avenue, Suite D3, Shclimar, FL 32579 | 2006-10-10 |
| 1255583795 | Ann Mcmanis | Pharmacist | 15 Healthcare Ln, Shalimar, FL 32579-0000 | 2008-10-15 |
| 1699950857 | Karen Michelle Reid | Counselor | 21 Longwood Dr, Shalimar, FL 32579-1013 | 2008-01-07 |
| 1285876540 | Beyond Expectations | Counselor | 21 Longwood Dr, Shalimar, FL 32579-1013 | 2009-04-01 |
| Find all providers in zip 32579 | ||||
| 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 |
|---|---|---|---|---|
| 1225158504 | Melissa Rogers | Massage Therapist | 1301 Eglin Pkwy # F, Shalimar, FL 32579-1208 | 2007-03-30 |
| 1740587674 | Christine Campbell | Massage Therapist | 60 2nd St, Suite 302, Shalimar, FL 32579-1769 | 2011-02-10 |
| 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.