SHELLEY REELAND (NPI# 1770803918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770803918 |
| Entity Type | Individual |
| Full Name | SHELLEY REELAND |
| Other Name | SHELLEY REELAND |
| Credential | RN, LMT |
| Practice Address |
1388 Rt 96 N Waterloo NY 13165 |
| Mailing Address |
1388 Rt 96 North Waterloo NY 13165 |
| Practice Telephone | 3155391357 |
| Mailing Telephone | 3155391357 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0154041 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LMT LICENSE | 0154041 | 01 |
| Street Address |
1388 RT 96 N |
| City | WATERLOO |
| State | NY |
| Zip Code | 13165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284848 | Mary Reese | Registered Nurse | 31 Thurber Drive, Waterloo, NY 13165 | 2017-06-08 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 1275856031 | Yecham Kumaraswamy | Pharmacist | 1963 Route 5&20 Street, Waterloo, NY 13165 | 2010-03-09 |
| 1801128632 | David Edward Janack | Pharmacist | 1860 North Road, Waterloo, NY 13165 | 2010-02-04 |
| 1336476753 | Laura Jane Miccuci | Pharmacist | 1963 Routes 5 & 20, Waterloo, NY 13165 | 2009-11-05 |
| 1528203759 | Joanne Farula Corey | Speech-Language Pathologist | 2932 Rt. 96, Waterloo, NY 13165 | 2008-12-02 |
| 1750568499 | Steven Gray | Pharmacist | 1963 Route 5 & 20, Waterloo, NY 13165 | 2008-01-24 |
| Find all providers in zip 13165 | ||||
| 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 |
|---|---|---|---|---|
| 1013483908 | Annette S Garbes | Massage Therapist | 1010 Alabar Ave, Waterloo, IA 50701-3200 | 2018-10-17 |
| 1023424918 | Katie Mallon | Massage Therapist | 742 N Market St Ste D, Waterloo, IL 62298-1079 | 2014-07-11 |
| 1407262801 | Kimberly Deterding | Massage Therapist | 3336 Kimball Ave Ste 150b, Waterloo, IA 50702-5762 | 2014-07-07 |
| 1679770085 | Deborah Ann Vincent Dehn | Massage Therapist | 8179 D Rd, Waterloo, IL 62298-5309 | 2007-06-29 |
| 1063582856 | Sandra Kay Anderson | Massage Therapist | 3510 Kimball Ave, Suite B, Waterloo, IA 50702-5760 | 2006-11-08 |
| 1346807179 | Alison Newman Pizarro | Massage Therapist | 148 E Main St, Waterloo, NY 13165-1442 | 2019-05-28 |
| 1578902979 | Leasa Ann Morrison | Massage Therapist | 1282 Waterloo Geneva Rd, Waterloo, NY 13165-1208 | 2013-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861354 | Stephen Quinn | Massage Therapist | 72 Steuben Rd, Garrison, NY 10524-7417 | 2020-11-06 |
| 1750982567 | Moises Payero | Massage Therapist | 407 Beach 20th St Apt 3b, Far Rockaway, NY 11691-3638 | 2020-11-06 |
| 1447851589 | Emily Nicole Bagnasco | Massage Therapist | 827 S 5th St, Lindenhurst, NY 11757-5625 | 2020-11-04 |
| 1053912162 | Chanel Marie Poole | Massage Therapist | 1234 Abbott Rd Ste 230, Lackawanna, NY 14218-1946 | 2020-11-04 |
| 1144821562 | Deping Song | Massage Therapist | 4002 Bowne St, #228, Flushing, NY 11354-6142 | 2020-11-03 |
| 1881295400 | Yoshiko Yamamoto | Massage Therapist | 4914 43rd Ave Apt 3, Woodside, NY 11377-4598 | 2020-11-02 |
| 1780285254 | Devante Quareed Thompson | Massage Therapist | 8944 Metropolitan Ave # 89-44, Rego Park, NY 11374-5331 | 2020-11-02 |
| 1396345062 | Amy Nadine Baker | Massage Therapist | 611 Broadway Rm 814, New York, NY 10012-0032 | 2020-10-30 |
| 1972102655 | Maria Carmen Tapia | Massage Therapist | 14749 72nd Dr Apt 3d, Flushing, NY 11367-2533 | 2020-10-22 |
| 1346849262 | Reddy for Acupuncture | Massage Therapist | 2807 Merrick Rd, Bellmore, NY 11710-5724 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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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.