POSITIVE WAVE L.L.C (NPI# 1861860751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861860751 |
Entity Type | Organization |
Organization Name | POSITIVE WAVE L.L.C |
Other Organization Name | POSITIVE WAVES L.L.C |
Practice Address |
955 N Wilson Rd B Radcliff KY 40160 |
Practice Telephone | 2707481824 |
Mailing Telephone | 2707481824 |
Enumeration Date | 2015-09-09 |
Last Update Date | 2015-09-09 |
Authorized Official Name | MRS. JADE CONRAD (OWNER) |
Authorized Official Telephone | 2707481824 |
Authorized Official Credential | L.M.T. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Other Name | Type Code |
---|---|
Positive Waves L.L.C | Doing Business As Name - Organization |
Street Address |
955 N WILSON RD B |
City | RADCLIFF |
State | KY |
Zip Code | 40160 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700392933 | Haley Binkley | Assistant Behavior Analyst | 955 N Wilson Rd, Radcliff, KY 40160-1487 | 2017-12-26 |
1851805899 | Christine C Schmude | Assistant Behavior Analyst | 955 N Wilson Rd, Radcliff, KY 40160-1487 | 2017-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487126298 | Cumberland Family Medical Center, Inc. | Clinic/Center | 1080 S Logsdon Parkway, Radcliff, KY 40160 | 2018-12-19 |
1184082372 | Marla Sims | Pharmacist | 102 Gateway Crossings, Radcliff, KY 40160 | 2016-02-03 |
1043686900 | Commonwealth of Kentucky | Skilled Nursing Facility | 100 Veterans Drive, Radcliff, KY 40160 | 2015-08-14 |
1477982726 | Amanda Schneider | Occupational Therapist | 645 Knox Blvd., Radcliff, KY 40160 | 2013-11-07 |
1407130776 | Claire Phillips | Counselor | 1072 S. Dixie Blvd, Radcliff, KY 40160 | 2011-10-05 |
1235435736 | Amanda Lacefield | Counselor | 295 W Lincoln Trail Blvd Ste D, Radcliff, KY 40160 | 2011-01-31 |
1457594491 | Rehab Resource | Occupational Therapist | 111 N Woodland Dr Ste C, Radcliff, KY 40160 | 2009-04-07 |
1649421629 | James K. Burke, Ph.d., P.s.c. | Community/Behavioral Health | 1460 B North Dixie, Radcliff, KY 40160 | 2008-10-08 |
1174675763 | Doctors Pllc | General Practice | 111 N Woodland Drive, Radcliff, KY 40160 | 2007-01-17 |
1902984305 | Philip Cornette IIi | Dentist | 347 W Lincoln Tr, 1, Radcliff, KY 40160 | 2006-11-02 |
Find all providers in zip 40160 |
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 |
---|---|---|---|---|
1114587862 | Jetta Kaune | Massage Therapist | 647 Knox Blvd, Radcliff, KY 40160-1514 | 2019-06-15 |
1629511191 | Kodi Giovanna Windley | Massage Therapist | 2901 S Wilson Rd Apt 1, Radcliff, KY 40160-8935 | 2016-11-30 |
1033531751 | Arielle Hair | Massage Therapist | 347 N Wilson Rd, Radcliff, KY 40160-2125 | 2014-01-15 |
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 |
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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.