LISA KOZODOY (NPI# 1740895036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740895036 |
| Entity Type | Individual |
| Full Name | LISA KOZODOY |
| Credential | LMT |
| Practice Address |
4847 Brandeis St Unit 2201 San Antonio TX 78249-4387 |
| Practice Telephone | 2104408467 |
| Mailing Telephone | 2104408467 |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2020-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT133471 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | LMT | MT133471 | 01 |
| Street Address |
4847 BRANDEIS ST UNIT 2201 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78249-4387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222663 | Zachary Mitchell Kimo Mitsui | Specialist/Technologist | 7311 Bluestone Rd, San Antonio, TX 78249 | 2020-10-15 |
| 1538770839 | Go Operations 3 LLC | Skilled Nursing Facility | 4366 Lockhill Selma, Shavano, TX 78249 | 2020-08-11 |
| 1417566548 | Heenaben Jayantilal Rathod | Registered Nurse | 5803 Utsa Blvd, Apt #2101, San Antonio, TX 78249 | 2020-07-24 |
| 1306455530 | Z-pediatrics Pllc | Pediatrics | 5886 Dezavala Rd Suite 101 #510, San Antonio, TX 78249 | 2020-07-23 |
| 1568080497 | San Antonio Wisdom Teeth, Pllc | Dentist | 13535 Hausman Pass #102-a, San Antonio, TX 78249 | 2020-07-07 |
| 1265071203 | Caralyne Sandquist | Physician Assistant | 5510 Presidio Parkway, Building #2 Suite 2401, San Antonio, TX 78249 | 2019-12-21 |
| 1104472935 | Adam J Gordon | Social Worker | 6363 Dezavala Rd, San Antonio, TX 78249 | 2019-08-16 |
| 1336700582 | Michael Leland Post | Specialist/Technologist | 5150 Dezavala, San Antonio, TX 78249 | 2019-06-27 |
| 1043788722 | Stephen John Reynolds | Counselor | 5907 Trent Rnch, San Antonio, TX 78249 | 2018-11-11 |
| 1396211504 | Christina Michelle Morales | Specialist/Technologist | 4533 N Loop 1604 E, Ste 1119, San Antonio, TX 78249 | 2018-10-16 |
| Find all providers in zip 78249 | ||||
| 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 |
|---|---|---|---|---|
| 1154922474 | Shavana Williams | Massage Therapist | 3787 Perrin Central Blvd Apt 927, San Antonio, TX 78217-2822 | 2020-11-03 |
| 1144836743 | Amanda Lozano | Massage Therapist | 7810 Velez Park Dr, San Antonio, TX 78249-4479 | 2020-09-18 |
| 1922612605 | Stephanie Clark | Massage Therapist | 15227 Spring Cor, San Antonio, TX 78247-1693 | 2020-09-01 |
| 1629681549 | Nadira Campbell | Massage Therapist | 9525 Lorene Ln Apt 190, San Antonio, TX 78216-5008 | 2020-08-29 |
| 1457963688 | Kelsie Webb | Massage Therapist | 25675 Overlook Pkwy Apt 1904, San Antonio, TX 78260-2557 | 2020-08-19 |
| 1891306197 | Michael Owen Chase | Massage Therapist | 147 Teakwood Ln, San Antonio, TX 78216-6823 | 2020-08-11 |
| 1790318400 | Judith Poole | Massage Therapist | 10919 Culebra Rd Ste 112, Room 5, San Antonio, TX 78253 | 2020-02-20 |
| 1205472701 | Joshua Alexander | Massage Therapist | 7530 Bandera Rd Ste 120, San Antonio, TX 78238-1269 | 2019-11-20 |
| 1154972545 | Raul Ramirez IIi | Massage Therapist | 18818 Meisner Dr Ste 102, San Antonio, TX 78258-3569 | 2019-09-26 |
| 1336790393 | Leiland Morgan Kelsey | Massage Therapist | 9478 Points Edge, San Antonio, TX 78250-2824 | 2019-09-21 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78249 |
Please comment or provide details below to improve the information on LISA KOZODOY.
| 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.