KALAMAZOO ATHLETIC WELLNESS LLC (NPI# 1740616499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740616499 |
| Entity Type | Organization |
| Organization Name | KALAMAZOO ATHLETIC WELLNESS LLC |
| Other Organization Name | KALAMAZOO ATHLETIC WELLNESS |
| Practice Address |
200 Turwill Ln Ste 102 Kalamazoo MI 49006-4277 |
| Practice Telephone | 2698700156 |
| Mailing Telephone | 2698700156 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |
| Authorized Official Name | MR. NICHOLAS TODD GARMAN (MEMBER) |
| Authorized Official Telephone | 2698700156 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 7501001033 | MI | Other Service Providers |
| Other Name | Type Code |
|---|---|
| Kalamazoo Athletic Wellness | Doing Business As Name - Organization |
| Street Address |
200 TURWILL LN STE 102 |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49006-4277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104829936 | Eldon Luis Bradham | Dentist | 200 Turwill Ln, Kalamazoo, MI 49006-4277 | 2005-05-24 |
| 1912462524 | Carrie Lintner Dds Plc | Dentist | 200 Turwill Ln, Kalamazoo, MI 49006-4277 | 2019-02-07 |
| 1881144236 | Laura Wasek-throm | Dentist | 200 Turwill Ln, Kalamazoo, MI 49006-4277 | 2016-10-10 |
| 1760683049 | Mary Moore | Psychologist | 200 Turwill Ln, Kalamazoo, MI 49006-4277 | 2007-05-31 |
| 1467660555 | Daniel Macdonald Bonine | Dentist | 200 Turwill Ln, Kalamazoo, MI 49006-4277 | 2007-05-20 |
| 1568486579 | Carrie Lynne Lintner | Dentist | 200 Turwill Ln, Kalamazoo, MI 49006-4277 | 2006-07-26 |
| 1396784112 | John Michael Mccarthy | Psychologist | 200 Turwill Ln, Kalamazoo, MI 49006-4277 | 2006-06-06 |
| 1629056965 | Ronald Mark Thompson | Dentist | 200 Turwill Ln, Kalamazoo, MI 49006-4277 | 2006-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013455989 | Lauren Gentry | Counselor | 213 S. Kendall Apt 201, Kalamazoo, MI 49006 | 2017-02-10 |
| 1588055768 | Rashida Al-gharib | Counselor | 10107 Boswell Lane, Kalamazoo, MI 49006 | 2015-02-10 |
| 1174913420 | Teesha Lynn Bancroft | Specialist | 329 S Sage St, Kalamazoo, MI 49006 | 2015-01-26 |
| 1801293493 | Ayaz Jaffer | Pharmacist | 5100 Century Avenue, Kalamazoo, MI 49006 | 2014-11-25 |
| 1609207695 | Karen Irene Zantjer | Occupational Therapist | 2575 N Drake, Tendercare Westwood, Kalamazoo, MI 49006 | 2013-12-02 |
| 1629313614 | Jessica Korneder | Behavioral Analyst | 3621 Kenbrooke Court, Kalamazoo, MI 49006 | 2012-12-03 |
| 1508101635 | Gerald Lamont Brooks | Counselor | 4017 W. Main Suite 100, Kalamazoo, MI 49006 | 2012-11-29 |
| 1932356979 | Joy Ann Mcgrath | Occupational Therapist | 1400 North Drake Road, Friendship Village of Kalamazoo, Kalamazoo, MI 49006 | 2008-08-21 |
| 1306901103 | Frederick G Greaves | Psychologist | 4031 W Main, Kalamazoo, MI 49006 | 2006-12-22 |
| 1629162300 | John F Hemmer | Social Worker | 1530 Nichols Road, Kalamazoo, MI 49006 | 2006-10-03 |
| Find all providers in zip 49006 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528292240 | Joyce Marie Hare | Mechanotherapist | 315 Turwill Ln, Kalamazoo, MI 49006-4231 | 2009-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124562954 | Andrew Goforth | Mechanotherapist | 3308 Arbor Dr, Fenton, MI 48430-3127 | 2016-12-13 |
| 1285177162 | Rashida Bennett El | Mechanotherapist | 13218 Stoepel St, Detroit, MI 48238-3187 | 2016-11-28 |
| 1306398078 | Shaleene Mayo | Mechanotherapist | 43902 Woodward # 120, Bloomfield Hills, MI 48302 | 2016-10-28 |
| 1790231603 | Ashley Paige Taylor | Mechanotherapist | 9790 E M 21, Ovid, MI 48866-9413 | 2016-08-30 |
| 1447704259 | Maria G Sanchez | Mechanotherapist | 903 Dexter St, Milan, MI 48160-1160 | 2016-08-09 |
| 1083060925 | Gregory Fyfe | Mechanotherapist | 2506 Crossing Cir Ste A, Traverse City, MI 49684-7955 | 2016-05-10 |
| 1689034282 | Rachel Jennifer Cooper | Mechanotherapist | 120 Laurel Leah, Fenton, MI 48430-8784 | 2016-02-25 |
| 1518354638 | Judy Liu Ramsey | Mechanotherapist | 220 Collingwood St, Suite 130, Ann Arbor, MI 48103-3842 | 2015-04-16 |
| 1902291198 | Michigan Imassage | Mechanotherapist | 140 W River St, Suite 10, Cadillac, MI 49601-1862 | 2015-04-03 |
| 1598156382 | Pamela Wilcox | Mechanotherapist | 29344 Hoover Rd, Ste 206, Warren, MI 48093-3441 | 2015-02-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KALAMAZOO ATHLETIC WELLNESS LLC.
| 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.