MR. CHARLES VANCE PHILLIPS IV (NPI# 1841703147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841703147 |
| Entity Type | Individual |
| Full Name | MR. CHARLES VANCE PHILLIPS IV |
| Credential | LMT |
| Practice Address |
25 Cherokee Blvd Ste C Chattanooga TN 37405-3838 |
| Practice Telephone | 4234756464 |
| Mailing Telephone | 4234756464 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 9355 | TN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | TN MASSAGE BOARD | 9355 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598064636 | Charles Phillips | Family Medicine | 6045 Carlisle Ln, 6045 Carlisle Ln, Alpharetta, GA 30022-6281 | 2011-03-15 |
| 1093735011 | Charles W Phillips | Optometrist | 4311 W Wadley Ave, Midland, TX 79707-5457 | 2006-07-20 |
| 1902891872 | Charles M Phillips | Dermatology | 517 Moye Blvd Fl 3, Ecu Physicians Dermatology, Greenville, NC 27834-2849 | 2005-09-15 |
| 1023017548 | Charles Bailey Phillips Jr. | Chiropractor | 4045 Vineville Ave, Macon, GA 31210-5039 | 2005-07-18 |
| 1891791299 | Charles Vincent Phillips | Surgery | 3838 San Dimas St, Ste B-231, Bakersfield, CA 93301-2284 | 2005-06-22 |
| 1538164298 | Charles T Phillips | Physician Assistant | 250 Nash Medical Arts Mall, Suite D, Rocky Mount, NC 27804-1470 | 2005-06-17 |
| 1760872808 | Charles Henry Phillips IIi | Physician Assistant | 915 N Greensboro St, Lexington, NC 27292-2699 | 2015-01-28 |
| 1811312986 | Charles Andrew Phillips | Internal Medicine | 509 Biltmore Ave, Asheville, NC 28801-4601 | 2014-02-26 |
| 1265722953 | Charles Allen Phillips | Pediatrics | 3401 Civic Center Blvd, Divisions of Hematology and Oncology, Philadelphia, PA 19104-4319 | 2011-04-14 |
| 1598945685 | Charles Samuel Phillips | Pediatrics | 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 | 2007-11-06 |
| Street Address |
25 CHEROKEE BLVD STE C |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37405-3838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878059 | Natasha A Anderson | Social Worker | 711 Signal Mountain Rd., 241, Chattanooga, TN 37405 | 2020-10-16 |
| 1093340333 | Dave Aitken | Chiropractor | 110 Woodland Ave., Chattanooga, TN 37405 | 2020-03-06 |
| 1285127944 | Kristin Stark | Marriage & Family Therapist | 1307 Hixson Pike, Chattanooga, TN 37405 | 2018-06-07 |
| 1205339033 | Ignite Chiropractic, LLC | Chiropractor | 200 Manufacturers Rd, Ste 210, Chattanooga, TN 37405 | 2018-03-18 |
| 1710486881 | Alexis Beasley Gaylor | Specialist/Technologist | 1185 Mountian Creek Road, Apt 405, Chattanooga, TN 37405 | 2018-02-05 |
| 1821538562 | Red Bank Operations, LLC | Skilled Nursing Facility | 1020 Runyan Drive, Chattanooga, TN 37405 | 2017-02-28 |
| 1619414166 | Jacquelyn Ann Casey | Social Worker | 201 Frazier Avenue, Suite E, Chattanooga, TN 37405 | 2017-01-23 |
| 1154876746 | Joan Stewart Mickles | Counselor | 9 Fairhills Drive, Chattanooga, TN 37405 | 2016-08-24 |
| 1750741088 | Weena Rivera | Counselor | 936 Mountain Creek Rd E-59, Apt E59, Chattanooga, TN 37405 | 2016-02-29 |
| 1063814515 | Mcallister Personal Care Consultants | Home Health | 419 N. Market Street, Chattanooga, TN 37405 | 2014-09-16 |
| Find all providers in zip 37405 | ||||
| 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 |
|---|---|---|---|---|
| 1447750880 | Wendy A Hutchinson | Massage Therapist | 4727 Brainerd Rd Ste B, Chattanooga, TN 37411-3828 | 2018-02-12 |
| 1952819161 | Charlotte Ann Cramer | Massage Therapist | 6043 Shallowford Rd Ste 109, Chattanooga, TN 37421-1653 | 2018-01-22 |
| 1841734506 | Stephanie Carter | Massage Therapist | 6347 E Brainerd Rd Ste B, Chattanooga, TN 37421-3977 | 2016-12-14 |
| 1407399256 | Antwon Mason | Massage Therapist | 1701 N Concord Rd, 81, Chattanooga, TN 37421-5755 | 2016-11-28 |
| 1013274463 | Thalia Lael Micah | Massage Therapist | 9425 Mountain Shadows Dr, Chattanooga, TN 37421-3455 | 2012-04-23 |
| 1003115171 | Petra Doris Price | Massage Therapist | 7804 E. Brainerd Rd., Chattanooga, TN 37421 | 2011-03-15 |
| 1588993851 | Tony Padalino | Massage Therapist | 5951 Browntown Rd, Chattanooga, TN 37415-1201 | 2009-12-16 |
| 1932334679 | Full Throttle Massage, Inc. | Massage Therapist | 4121 Hixson Pike, Suite A7, Chattanooga, TN 37415-3125 | 2009-05-26 |
| 1336300482 | Jacqueline Therese Keenum | Massage Therapist | 2554 Harrison Pike, Chattanooga, TN 37406-1422 | 2008-06-20 |
| 1962987065 | Leah Lynch | Massage Therapist | 6237 Vance Rd Ste 4, Chattanooga, TN 37421-2954 | 2018-09-25 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37405 |
Please comment or provide details below to improve the information on MR. CHARLES VANCE PHILLIPS IV.
| 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.