MR. ROBERT YARDLEY (NPI# 1770021214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770021214 |
| Entity Type | Individual |
| Full Name | MR. ROBERT YARDLEY |
| Credential | LMT |
| Practice Address |
1325 E Mccord St Centralia IL 62801-3610 |
| Mailing Address |
1307 E Mccord St Centralia IL 62801-3610 |
| Practice Telephone | 6185328861 |
| Mailing Telephone | 6185328861 |
| Enumeration Date | 2017-02-04 |
| Last Update Date | 2017-02-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227017525 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1325 E MCCORD ST |
| City | CENTRALIA |
| State | IL |
| Zip Code | 62801-3610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996151 | Matthew Crawford | Counselor | 904 E Martin Luther King Dr, Centralia, IL 62801 | 2019-08-08 |
| 1588130314 | Kennah White | Counselor | 904 E. Mlk Drive, Centralia, IL 62801 | 2018-10-19 |
| 1245721588 | Lindsey Nicole Fogliasso | Counselor | 904 East Mlk Dr., Centralia, IL 62801 | 2018-05-22 |
| 1629573365 | Prabhat Shrestha | Student in an Organized Health Care Education/Training Program | 605 Sable Drive, Centralia, IL 62801 | 2018-03-26 |
| 1619496098 | Whitney Rathmann | Speech-Language Pathologist | 224 South Locust, Centralia, IL 62801 | 2017-09-17 |
| 1376082685 | Athena A Smith | Counselor | 904 E. Martin Luther King Dr, Centralia, IL 62801 | 2017-02-20 |
| 1447704069 | Meghan Branch | Counselor | 904 Martin Luther King Dr, Centralia, IL 62801 | 2016-08-11 |
| 1568820637 | Midland Area Agency On Aging | Case Management | 434 S Poplar Street, Centralia, IL 62801 | 2016-02-04 |
| 1104201714 | Keri Douglas | Nurse Practitioner | 1054 M. L. King Drive #125, Centrailia, IL 62801 | 2015-07-24 |
| 1215331509 | Melissa Dane | Counselor | 904 E Martin Luther King Dr., Centralia, IL 62801 | 2014-10-15 |
| Find all providers in zip 62801 | ||||
| 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 |
|---|---|---|---|---|
| 1003475484 | Rachel E Gothard-gollob | Massage Therapist | 500 W Main St Ste D, Centralia, WA 98531-4252 | 2019-06-10 |
| 1326575762 | Tristyn Jay | Massage Therapist | 628 W Main St, Centralia, WA 98531-2845 | 2017-05-16 |
| 1891232062 | Andrea Huhta | Massage Therapist | 1014 N Scheuber Rd Apt 21, Centralia, WA 98531-1568 | 2017-01-26 |
| 1033565742 | Rachael Nicole Smith | Massage Therapist | 1202 S Gold St, Centralia, WA 98531-3716 | 2016-05-11 |
| 1275995417 | Elijah Maxwell | Massage Therapist | 1639 Kresky Ave, Centralia, WA 98531-8912 | 2016-03-27 |
| 1457758104 | Karissa Ashley Steele | Massage Therapist | 1813 Harrison Ave, Centralia, WA 98531-1908 | 2014-11-24 |
| 1912205717 | Danielle Lynn Caywood | Massage Therapist | 1405 Lewis St Apt 23, Centralia, WA 98531-1255 | 2011-03-03 |
| 1396973400 | Kimberly Lynn Prine | Massage Therapist | 103 Jalyn St, Centralia, WA 98531-1730 | 2009-06-26 |
| 1265686968 | Patricia Ann Donoho | Massage Therapist | 109 N Park St, Centralia, IL 62801-2062 | 2008-11-07 |
| 1184874596 | Tanja Gribble | Massage Therapist | 111 E Pine St, Centralia, WA 98531-4211 | 2008-09-22 |
| Find all providers in CENTRALIA | ||||
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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.