JENNIFER KEDZIERSKI (NPI# 1760801732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760801732 |
| Entity Type | Individual |
| Full Name | JENNIFER KEDZIERSKI |
| Credential | L.M.T. |
| Practice Address |
2604 E Megan St Gilbert AZ 85295-5177 |
| Practice Telephone | 4803002797 |
| Mailing Telephone | 4803002797 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT-16718 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2604 E MEGAN ST |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-5177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| 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 |
|---|---|---|---|---|
| 1134741499 | Katrina Lynn Corral | Massage Therapist | 3303 E Baseline Rd Bldg 5, Gilbert, AZ 85234-2738 | 2020-05-09 |
| 1003322207 | Michael Yuhaniak | Massage Therapist | 1341 E Strawberry Dr, Gilbert, AZ 85298-6898 | 2017-12-26 |
| 1639693310 | Robin Ward | Massage Therapist | 1166 E Warner Rd Ste 219, Gilbert, AZ 85296-3066 | 2017-08-03 |
| 1295190601 | Heather Wildstein | Massage Therapist | 1244 E Marcella Ln, Gilbert, AZ 85295-1765 | 2015-12-30 |
| 1215325774 | Tara Ellan Kemnitz | Massage Therapist | 1467 W Elliot Rd Ste 103, Gilbert, AZ 85233-5167 | 2015-01-06 |
| 1578814489 | Jill Obermeier | Massage Therapist | 3941 E Baseline Rd Ste 101, Gilbert, AZ 85234-2750 | 2012-10-02 |
| 1801112297 | Kimberly Hadji | Massage Therapist | 2707 E Ficus Way, Gilbert, AZ 85298-3402 | 2010-04-11 |
| 1447887328 | Ashley Katrice Barreto | Massage Therapist | 3303 E Baseline Rd Ste 109, Gilbert, AZ 85234-2739 | 2020-03-23 |
| 1598234718 | Shelly Nentwig | Massage Therapist | 3303 S Lindsay Rd Ste 119a, Gilbert, AZ 85297-2100 | 2018-11-16 |
| 1912327628 | Sean E Mccoy Sr. | Massage Therapist | 1166 E Warner Rd, Suite 101, Gilbert, AZ 85296-3064 | 2014-04-21 |
| Find all providers in GILBERT | ||||
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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.