ERIN L DESJARLAIS (NPI# 1891300836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891300836 |
| Entity Type | Individual |
| Full Name | ERIN L DESJARLAIS |
| Credential | LMT |
| Practice Address |
2006 Progress Blvd Antigo WI 54409-2475 |
| Practice Telephone | 7156235481 |
| Practice Fax Number | 7156270177 |
| Mailing Telephone | 7156235481 |
| Mailing Fax Number | 7156270177 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 11893146 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2006 PROGRESS BLVD |
| City | ANTIGO |
| State | WI |
| Zip Code | 54409-2475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114000213 | Nicole Suzanne Debroux | Chiropractor | 2006 Progress Blvd, Antigo, WI 54409 | 2006-10-23 |
| 1437714805 | Brandon Allen Dyrdahl | Chiropractor | 2006 Progress Blvd, Antigo, WI 54409-2475 | 2019-05-01 |
| 1841537701 | Cornerstone Chiropractic & Wellness LLC | Chiropractor | 2006 Progress Blvd, Antigo, WI 54409-2475 | 2013-01-12 |
| 1215209283 | Nicholas R Wachtel | Chiropractor | 2006 Progress Blvd, Antigo, WI 54409-2475 | 2012-02-06 |
| 1518265651 | Katherine Anne Kirwan | Chiropractor | 2006 Progress Blvd, Antigo, WI 54409-2475 | 2011-03-13 |
| 1053595777 | Angela Renee Thiele | Chiropractor | 2006 Progress Blvd, Antigo, WI 54409-2475 | 2007-12-18 |
| 1669678603 | Amy Stuber | Chiropractor | 2006 Progress Blvd, Antigo, WI 54409-2475 | 2007-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454036 | Jason Peter Cueny | Pharmacist | 200 E Highway 64, Antigo, WI 54409 | 2020-10-15 |
| 1770194524 | Christpher George Rowe | Technician | 825 Clermont S Apt 7, Antigo, WI 54409 | 2020-08-14 |
| 1033753512 | Joseph Gerger | Technician | 711 Badger Ave, Antigo, WI 54409 | 2019-10-29 |
| 1225368780 | Integrated Pain Solutions LLC | Clinic/Center | 2327 Neva Road, Antigo, WI 54409 | 2010-01-06 |
| 1558525212 | Jessica E Rosenberg | Social Worker | 310 South Superior Street, Antigo, WI 54409 | 2008-07-11 |
| 1053433292 | Raymond J Portman | Dentist | 705 Fifth Ave, Antigo, WI 54409 | 2007-04-06 |
| 1699801316 | Rick L Perkins | Obstetrics & Gynecology | Aspirus General Clinic, 110 East 5th Avenue, Antigo, WI 54409 | 2007-02-26 |
| 1205999646 | Earl J Roth | Chiropractor | 612 Century Ave, Antigo, WI 54409 | 2006-12-18 |
| 1811061187 | Rosanne Schermetzler | Occupational Therapist | 720 Ackley Street, Antigo, WI 54409 | 2006-11-20 |
| 1912084070 | Antigo Total Therapy & Sports Rehab Center Inc | Physical Therapist | 720 Askley Street, Antigo, WI 54409 | 2006-11-01 |
| Find all providers in zip 54409 | ||||
| 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 |
|---|---|---|---|---|
| 1033631411 | Hannah Elizabeth Krueger | Massage Therapist | 2327 Neva Road, Antigo, WI 54409 | 2017-07-07 |
| 1578017638 | Gianna Losser | Massage Therapist | 612 Clermont St, Suite 9, Antigo, WI 54409-1988 | 2016-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749548 | Cindy Ann Pinnow | Massage Therapist | 443 W Main St, Waukesha, WI 53186-4612 | 2020-10-27 |
| 1114526068 | Berevon Tayshawn Wyatt | Massage Therapist | 3510 N Oakland Ave Ste 206, Milwaukee, WI 53211-2746 | 2020-10-21 |
| 1881292035 | Chrysta Beyer | Massage Therapist | 117 W Good Hope Rd, Glendale, WI 53217-3857 | 2020-10-10 |
| 1861099608 | Kaitlin Gelbmann | Massage Therapist | 920 W City Highway 16 Ste A, West Salem, WI 54669-1952 | 2020-10-05 |
| 1447867346 | Evolve Massage LLC | Massage Therapist | 1777 W Main St Ste 106, Sun Prairie, WI 53590-3100 | 2020-09-25 |
| 1174139646 | Rachel Plowman | Massage Therapist | 2911 Blue Aster Blvd, Sun Prairie, WI 53590-4691 | 2020-09-21 |
| 1003422569 | Reeyanana Salet Cha | Massage Therapist | 12201 W Burleigh St Ste 6, Wauwatosa, WI 53222-3102 | 2020-09-21 |
| 1659986453 | Kristin Allie Costello | Massage Therapist | S31w24757 W Sunset Dr, Waukesha, WI 53189-7014 | 2020-09-09 |
| 1073124376 | Maria Victoria Gutierrez | Massage Therapist | 2702 Monroe St Ste 110, Madison, WI 53711-1896 | 2020-08-11 |
| 1699393082 | Laura Lynn Leyh | Massage Therapist | 1907 American Dr Ste B3, Neenah, WI 54956-1236 | 2020-07-11 |
| Find all providers with the same taxonomy | ||||
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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.