CAROLINA QUINTERO (NPI# 1770980310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770980310 |
Entity Type | Individual |
Full Name | CAROLINA QUINTERO |
Practice Address |
1800 Flandro Dr Suite 190 Pocatello ID 83202-4912 |
Practice Telephone | 2082332248 |
Practice Fax Number | 2082330219 |
Mailing Telephone | 2082332248 |
Mailing Fax Number | 2082330219 |
Enumeration Date | 2014-11-25 |
Last Update Date | 2014-11-25 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MASG-1832 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1800 FLANDRO DR SUITE 190 |
City | POCATELLO |
State | ID |
Zip Code | 83202-4912 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043332901 | Bart William Mcdonald | Physical Therapist | 1800 Flandro Dr, 190, Pocatello, ID 83202-4940 | 2007-04-04 |
1508488107 | Kasey Egbert | Physical Therapist | 1800 Flandro Dr, Pocatello, ID 83202-4912 | 2020-05-18 |
1346611803 | Daniel O'keef | Physical Therapist | 1800 Flandro Dr, Suite 190, Pocatello, ID 83202-4912 | 2015-10-09 |
1336528009 | Steven R Klitgaard | Physical Therapist | 1800 Flandro Dr, Pocatello, ID 83202-4912 | 2015-05-27 |
1689052219 | Kevin Wesley Ward | Physical Therapist | 1800 Flandro Dr, Suite 190, Pocatello, ID 83202-4912 | 2015-05-15 |
1255721452 | Ana Raya | Massage Therapist | 1800 Flandro Dr, Suite 190, Pocatello, ID 83202-4912 | 2015-01-27 |
1326445859 | Leah White | Massage Therapist | 1800 Flandro Dr, Ste 190, Pocatello, ID 83202-4912 | 2014-11-26 |
1952713166 | Shaloam Ofisa | Chiropractor | 1800 Flandro Dr, Suite 130, Pocatello, ID 83202 | 2014-05-22 |
1780096990 | Art of Motion Chiropractic and Sports Medicine Pllc | Chiropractor | 1800 Flandro Dr, Suite 130, Pocatello, ID 83202-4912 | 2014-05-22 |
1952733552 | Christine Fischer Waite | Physical Therapist | 1800 Flandro Dr, Suite 190, Pocatello, ID 83202-4912 | 2013-08-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700379682 | Vera Whole Health, Wa PC | Clinic/Center | 219 Phil Meador Ave, Pocatello, ID 83202 | 2018-06-14 |
1649712597 | Angie M Mccurdy | Audiologist | 4155 Yellowstone Hwy, Pine Ridge Mall, Pocatello, ID 83202 | 2016-11-09 |
1285180836 | Beverly Grigg Jones | Counselor | 210 W. Burnside, Chubbuck, ID 83202 | 2016-09-01 |
1376992503 | Andrea Walsh | Nurse Practitioner | 1133 Call Creek Dr, Ste A, Pocatello, ID 83202 | 2016-06-08 |
1215381181 | Specialized Physical Therapy Pllc | Clinic/Center | 4141 Poleline Rd Ste A, Pocatello, ID 83202 | 2016-04-18 |
1457713588 | Jennifer Ann Gould | Radiologic Technologist | 907 Ryan Street, Chubbuck, ID 83202 | 2016-03-28 |
1154714897 | Phoenix Management LLC | Day Training, Developmentally Disabled Services | 10991 Deerridge Dr., Chubbuck, ID 83202 | 2015-03-05 |
1750781449 | Jennifer Lynn Seaich | Counselor | 4460 Center Way, Center Counseling, Pocatello, ID 83202 | 2014-08-29 |
1336562412 | Kurt Layton | Counselor | 337 Joel, Chubbuck, ID 83202 | 2014-01-27 |
1245653468 | Hannah's Place LLC | Occupational Therapist | 240 W Burnside Ave Ste D, Chubbuck, ID 83202 | 2014-01-23 |
Find all providers in zip 83202 |
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 |
---|---|---|---|---|
1336779214 | Corwin Allen West | Massage Therapist | 920 Deon Dr Ste A, Pocatello, ID 83201-3069 | 2020-01-20 |
1902466535 | Terri L Droghei | Massage Therapist | 312 W Center St, Pocatello, ID 83204-3244 | 2019-06-17 |
1942771472 | Gina Marie Moore | Massage Therapist | 151 N 4th Ave Ste A, Pocatello, ID 83201-6300 | 2018-12-10 |
1790260032 | Melissa Bradley | Massage Therapist | 809 W Cedar St, Pocatello, ID 83201-6139 | 2018-10-02 |
1417475492 | Deanna Emilia Giokas | Massage Therapist | 550 Memorial Dr, Pocatello, ID 83201-4063 | 2017-08-30 |
1760869291 | Angelina Thelin | Massage Therapist | 920 Dion Drive, Pocatello, ID 83201-3069 | 2015-05-05 |
1417377110 | Amber Hoopes | Massage Therapist | 115 S 15th Ave Ste C, Pocatello, ID 83201-4068 | 2014-04-21 |
1700112448 | Lisa Stuban | Massage Therapist | 2688 Hillview Dr, Pocatello, ID 83201-2503 | 2009-10-31 |
1417960899 | Mary A. Schmidt | Massage Therapist | 2010 Flandro Dr, Pocatello, ID 83202-1947 | 2006-08-15 |
1588172050 | Chelsey Joy Williams | Massage Therapist | 420 W Lewis St, Pocatello, ID 83204-3218 | 2018-01-18 |
Find all providers in POCATELLO |
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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.