LARENA MITCHELL (NPI# 1811352438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811352438 |
| Entity Type | Individual |
| Full Name | LARENA MITCHELL |
| Credential | LMT |
| Practice Address |
2111 S Main St Hopkinsville KY 42240-1757 |
| Practice Telephone | 2709858372 |
| Mailing Telephone | 2709858372 |
| Enumeration Date | 2015-12-25 |
| Last Update Date | 2015-12-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | 10349 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225700000X | Massage Therapist | 5102 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2111 S MAIN ST |
| City | HOPKINSVILLE |
| State | KY |
| Zip Code | 42240-1757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689214264 | Joshua Brian Yates | Pharmacist | 320 West 18th Street, Hopkinsville, KY 42240 | 2020-01-10 |
| 1629540950 | John J Tomasic | Nurse Practitioner | Jennie Stuart Medical Center, 320 W 18th Street, Hopkinsville, KY 42240 | 2018-12-27 |
| 1669962866 | Jeri Lynn Richardson | Developmental Therapist | 119 Forbes Dr, Hopkinsville, KY 42240 | 2018-05-14 |
| 1619416039 | Esther Caro | Case Manager/Care Coordinator | 400a Hammond Plz, Hopkinsville, KY 42240 | 2017-02-17 |
| 1780126532 | Jennifer R. Koranyi | Social Worker | 737b North Dr, Hopkinsville, KY 42240 | 2016-11-10 |
| 1043760937 | Inspira Therapy | Speech-Language Pathologist | 1110 South Main Street, Suite B, Hopkinsville, KY 42240 | 2016-10-04 |
| 1689026049 | Judy Greene Dba Greene Physical Therapy Services | Physical Therapist | 1910 South Virginia Ste., Ste. 108, Hopkinsville, KY 42240 | 2016-07-11 |
| 1083094932 | Cornell Memory Center | Clinic/Center | 101 North Drive, Hopkinsville, KY 42240 | 2015-06-05 |
| 1679978746 | Maulik V Patel | Pharmacist | 2713 A Fort Campbell Blvd, Hopkinsville, KY 42240 | 2014-10-30 |
| 1245630896 | Haregewoin Ezezew Baye | Dentist | 300 Cool Water Ct, Hopkinsville, KY 42240 | 2014-09-02 |
| Find all providers in zip 42240 | ||||
| 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 |
|---|---|---|---|---|
| 1265959878 | Amy Fox | Massage Therapist | 3000 Canton Pike Ste 8, Hopkinsville, KY 42240-1383 | 2017-08-24 |
| 1033676655 | Debbie Gozalez | Massage Therapist | 623 Millbrooke Dr, Hopkinsville, KY 42240-5241 | 2019-03-01 |
| 1780852889 | Michael D Grise | Massage Therapist | 1202 Skyline Dr, Hopkinsville, KY 42240-4937 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312589 | Jorden E. Duvall | Massage Therapist | 703 W Ashland Ave, Louisville, KY 40215-2403 | 2020-10-07 |
| 1588261424 | Jennifer Coleman | Massage Therapist | 855 Lovers Ln Ste 104, Bowling Green, KY 42103-7989 | 2020-10-05 |
| 1205433323 | Audrey M Murphy | Massage Therapist | 214 S Washington St, Albany, KY 42602-1226 | 2020-10-01 |
| 1538766787 | Talina Rene Loren | Massage Therapist | 1340 S 3rd St Apt 217, Louisville, KY 40208-2332 | 2020-10-01 |
| 1033726146 | Erica Laaker | Massage Therapist | 3914 Highway 22 W, Falmouth, KY 41040-7005 | 2020-09-23 |
| 1972119238 | Phoebe Rae Salyers | Massage Therapist | 5219 Eureka Dr, Taylor Mill, KY 41015-2107 | 2020-09-21 |
| 1114532579 | Megan Trodglen | Massage Therapist | 3607 Ethelwood Dr, Louisville, KY 40299-3339 | 2020-09-12 |
| 1477166783 | Victoria Newman | Massage Therapist | 543 N 44th St, Louisville, KY 40212-2710 | 2020-08-26 |
| 1013529858 | Amber Nicole Squires | Massage Therapist | 2044 Midland Ave Apt 2, Louisville, KY 40204-2287 | 2020-08-22 |
| 1710599865 | Jessica D Boyd | Massage Therapist | 10102 Summit Park Pl Apt 201, Louisville, KY 40241-3833 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
| City | HOPKINSVILLE |
| Zip Code | 42240 |
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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.