TIFFANIE RYDER (NPI# 1720515406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720515406 |
| Entity Type | Individual |
| Full Name | TIFFANIE RYDER |
| Practice Address |
1110 Merrified St Grand Rapids MI 49507 |
| Mailing Address |
1110 Merrified St Se Grand Rapids MI 49507 |
| Practice Telephone | 6162385799 |
| Mailing Telephone | 6162385799 |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1110 MERRIFIED ST |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487156956 | Kristen Zvirbulis Keeter | Physical Therapist | 625 Kenmoor Ave. Se Ste 306, Grand Rapids, MI 49507 | 2018-03-01 |
| 1508371758 | Vanessa Woodard | Case Manager/Care Coordinator | 1939 S. Division Ave., Grand Rapids, MI 49507 | 2017-12-11 |
| 1306350624 | Courtney Nicole Porter | Social Worker | 1979 S Division Ave., Grand Rapids, MI 49507 | 2017-11-22 |
| 1518496900 | 733 Prince LLC | Custodial Care Facility | 733 Prince St Se, Grand Rapids, MI 49507 | 2017-06-08 |
| 1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
| 1992171748 | Richard Lavell Flowers | Non-emergency Medical Transport (VAN) | 1447 Elliott, Grand Rapids, MI 49507 | 2015-08-17 |
| 1982096087 | Jordana Seebeck | Social Worker | 1939 S. Division Se, Grand Rapids, MI 49507 | 2015-02-26 |
| 1083973135 | Carla May Waite | Social Worker | 1939 South Division, Grand Rapids, MI 49507 | 2012-05-10 |
| 1740550037 | Jamie Lee Dalton | Social Worker | 2017 College Ave Se, Grand Rapids, MI 49507 | 2012-01-04 |
| 1760760037 | Cristian Rodriguez | Physician Assistant | 2155 Buchanan St Sw, Grand Rapids, MI 49507 | 2011-08-03 |
| Find all providers in zip 49507 | ||||
| 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 |
|---|---|---|---|---|
| 1295348092 | Michael Allen Vaneerden | Massage Therapist | 1359 Emerald Ave Ne, Grand Rapids, MI 49505-5226 | 2020-08-31 |
| 1972113983 | Mary Beth Holtz | Massage Therapist | 3355 Eagle Park Dr Ne Ste 107, Grand Rapids, MI 49525-7004 | 2020-08-04 |
| 1689282824 | Annemarie Hazzard-pryor | Massage Therapist | 2050 Breton Rd Se Ste 109, Grand Rapids, MI 49546-5547 | 2020-07-14 |
| 1699308890 | Brenda Kay Purchase | Massage Therapist | 5300 Northland Dr Ne Ste F, Grand Rapids, MI 49525-1058 | 2020-02-16 |
| 1023586542 | Kayla Lynne Pettit | Massage Therapist | 435 Cherry St Se # B, Grand Rapids, MI 49503-4672 | 2018-11-02 |
| 1881160422 | Erica Kate Snay | Massage Therapist | 435 Cherry St Se Ste B, Grand Rapids, MI 49503-4672 | 2018-10-22 |
| 1902359706 | Cynthia Marie Thorson | Massage Therapist | 2184 Saginaw Rd Se, Grand Rapids, MI 49506-5446 | 2016-07-27 |
| 1316391477 | Kylin Mary-elizabeth Cronkhite | Massage Therapist | 710 Morris Ave Se, Apt #1, Grand Rapids, MI 49503-5324 | 2016-04-14 |
| 1992164180 | Sarita Gibbons | Massage Therapist | 1057 Bridge St Nw, Grand Rapids, MI 49504-5061 | 2016-02-16 |
| 1730548371 | Laura Williams | Massage Therapist | 1040 4 Mile Rd Nw, Grand Rapids, MI 49544-1505 | 2016-02-10 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49507 |
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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.