RANDA BETH HODGSON (NPI# 1871939140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871939140 |
| Entity Type | Individual |
| Full Name | RANDA BETH HODGSON |
| Credential | LMT |
| Practice Address |
18305 W Lisbon Rd Brookfield WI 53045-1003 |
| Practice Telephone | 2622257833 |
| Mailing Telephone | 2622257833 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 12300-146 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
18305 W LISBON RD |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-1003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| 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 |
|---|---|---|---|---|
| 1851929319 | Nicole Pecchio Lott | Massage Therapist | 300 Federal Rd Ste 210, Brookfield, CT 06804-2412 | 2020-03-31 |
| 1871134759 | Melanie Heckert | Massage Therapist | 17345 W Capitol Dr Ste 103, Brookfield, WI 53045-2005 | 2019-10-02 |
| 1235688813 | Kimberly Lowery | Massage Therapist | 1306 State Route 7 Ne, Brookfield, OH 44403-9785 | 2016-09-23 |
| 1619327681 | Shannon Lebal | Massage Therapist | 14665 W Lisbon Rd Ste 1b, Brookfield, WI 53005-1687 | 2016-06-20 |
| 1417329012 | Katherine Schliepp | Massage Therapist | 2848 N Brookfield Rd Apt 205, Brookfield, WI 53045-3331 | 2015-10-22 |
| 1831701150 | Dawn Marie Petrovick | Massage Therapist | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2020-08-18 |
| 1477189272 | Tammy R Wentlandt | Massage Therapist | 13825 W Burleigh Rd, Brookfield, WI 53005-3058 | 2020-03-13 |
| 1033688775 | Bekim Selmani | Massage Therapist | 246 Federal Rd, Brookfield, CT 06804-2647 | 2018-11-23 |
| 1992231880 | Siem Brinn | Massage Therapist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-05-11 |
| 1447606017 | Gregory Steven Nardine | Massage Therapist | 366 Federal Rd, Brookfield, CT 06804-2406 | 2016-05-12 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
Please comment or provide details below to improve the information on RANDA BETH HODGSON.
| 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.