DASHA LEIGH BLACKBURN (NPI# 1902209349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902209349 |
Entity Type | Individual |
Full Name | DASHA LEIGH BLACKBURN |
Credential | LMT |
Practice Address |
4138 S Harvard Ave Ste C3 Tulsa OK 74135-2653 |
Practice Telephone | 9188282899 |
Mailing Telephone | 9188282899 |
Enumeration Date | 2014-09-30 |
Last Update Date | 2014-09-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 1030891 | OK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4138 S HARVARD AVE STE C3 |
City | TULSA |
State | OK |
Zip Code | 74135-2653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
Find all providers in zip 74135 |
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 |
---|---|---|---|---|
1801408232 | Jimmy Lee Winkle | Massage Therapist | 4564 S Harvard Ave Ste B, Tulsa, OK 74135-2918 | 2020-08-18 |
1386100899 | Christina Lee Simpson | Massage Therapist | 5358 E 39th Pl, Tulsa, OK 74135-5548 | 2019-02-20 |
1861947509 | Lashundra Saulsberry | Massage Therapist | 2209 N Hartford Ave, Apt C, Tulsa, OK 74106-3543 | 2016-08-23 |
1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
1851604441 | Derek D Jones | Massage Therapist | 1935 S Harvard Ave, Tulsa, OK 74112-6827 | 2010-07-23 |
1114250305 | Phyllynna Christinna Hurtubise | Massage Therapist | 5800 E Skelly Dr Ste 200, Tulsa, OK 74135-6439 | 2009-09-07 |
1639315575 | Deanna Michelle Hale | Massage Therapist | 2748 E Newton Pl, Tulsa, OK 74110-4845 | 2008-12-24 |
1497975676 | Dineen G Lewis | Massage Therapist | 5840 S. Memorial Drive, Ste. 318, Tulsa, OK 74145 | 2007-04-27 |
1851904205 | Kristen M Burge | Massage Therapist | 4564 S Harvard Ave Ste B, Tulsa, OK 74135-2918 | 2020-08-26 |
1073151205 | Kya Jones | Massage Therapist | 7226 E 41st St, Tulsa, OK 74145-4504 | 2019-12-18 |
Find all providers in TULSA |
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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.