SHAWN MICHELLE DAUGHTRY (NPI# 1902124415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902124415 |
| Entity Type | Individual |
| Full Name | SHAWN MICHELLE DAUGHTRY |
| Credential | LMT |
| Practice Address |
5088 66th Street North St Petersburg FL 33709 |
| Practice Telephone | 7275412675 |
| Practice Fax Number | 7275413956 |
| Mailing Telephone | 7275412675 |
| Mailing Fax Number | 7275413956 |
| Enumeration Date | 2010-05-07 |
| Last Update Date | 2010-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA47698 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5088 66TH STREET NORTH |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396721221 | John B Decosmo | Family Medicine | 5088 66th Street North, St Petersburg, FL 33709 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770110637 | Mylien Le | Registered Nurse | 6001 49th Street North, St Petersburg, FL 33709 | 2020-03-23 |
| 1457885063 | Kamlesh Rajani | Pharmacist | 5985-b 49th Street North, Saint Petersburg, FL 33709 | 2017-04-20 |
| 1417382912 | Farhan Hooda | Internal Medicine | The Heart Institute, 6006 49th St. North, Ste. 200, St. Petersburg, FL 33709 | 2013-09-04 |
| 1558702605 | Walgreens | Clinic/Center | 3994 Tyrone Blvd, Saint Petersburg, FL 33709 | 2013-07-17 |
| 1437417607 | Jeri Devale | Social Worker | 6241 43rd Ter N, Kenneth City, FL 33709 | 2012-04-25 |
| 1528340643 | Steven E. Allbritton | Pharmacist | 5405 66th Street N., Saint Petersburg, FL 33709 | 2011-09-14 |
| 1043537335 | Milan Ravindra Patel | Internal Medicine | 3901 66th St N Ste 201, St Petersburg, FL 33709 | 2010-04-26 |
| 1134454713 | Eye Designs Optical and Vision Care, LLC | Optometrist | 3831 Tyrone Boulevard, St. Petersburg, FL 33709 | 2009-10-15 |
| 1487827069 | Jose Manuel Garcia | Dentist | 4911 Park Street North, St Petersburg, FL 33709 | 2008-04-04 |
| 1104097427 | Stanley D Grimmel | Chiropractor | 5670 54th Ave. N, A2, Saint Petersburg, FL 33709 | 2008-03-13 |
| Find all providers in zip 33709 | ||||
| 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 |
|---|---|---|---|---|
| 1477150134 | Traci Jones | Massage Therapist | 12000 4th St N Apt 44, St Petersburg, FL 33716-1710 | 2020-10-06 |
| 1073129961 | James F Thomason | Massage Therapist | 1211 1st Ave N # 211, St Petersburg, FL 33705-1567 | 2020-09-16 |
| 1225683212 | Tracy Baker | Massage Therapist | 2040 30th St S, St Petersburg, FL 33712-2947 | 2019-08-06 |
| 1487116414 | Joseph Scott Hendershot | Massage Therapist | 430 3rd Ave S Apt 232, St Petersburg, FL 33701-4183 | 2019-03-31 |
| 1003315516 | Carl James Rutledge | Massage Therapist | 7229 Central Ave, St Petersburg, FL 33710-7413 | 2018-02-10 |
| 1649676644 | Jaime Whittington | Massage Therapist | 249 57th St N, St Petersburg, FL 33710-7931 | 2014-11-18 |
| 1184042483 | Lori Jean Clissold | Massage Therapist | 10033 Dr Martin Luther King Jr St N Ste 300, St Petersburg, FL 33716-3830 | 2014-04-03 |
| 1801217609 | Chad Cook | Massage Therapist | 400 Carillon Pkwy Ste 130, St Petersburg, FL 33716-1290 | 2013-12-20 |
| 1730437237 | Lanett Montoya | Massage Therapist | 500 Mlk St N, Suite 100, St Petersburg, FL 33705-1472 | 2012-08-15 |
| 1679854392 | Katherine Ann Youhn | Massage Therapist | 3202 Dr Ml King Jr St N, St Petersburg, FL 33704-1202 | 2011-09-08 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33709 |
Please comment or provide details below to improve the information on SHAWN MICHELLE DAUGHTRY.
| 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.