MR. JAMES RUFUS COULLIETTE JR. (NPI# 1922255660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922255660 |
| Entity Type | Individual |
| Full Name | MR. JAMES RUFUS COULLIETTE JR. |
| Credential | LMT |
| Practice Address |
33306 Portal Dr Leesburg FL 34788-3171 |
| Mailing Address |
Po Box 895321 Leesburg FL 34789-5321 |
| Practice Telephone | 3522532353 |
| Mailing Telephone | 3524557828 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2008-08-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA-45688 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | LICENSED MASSAGE THERAPIST | MA-45688 | 01 |
| Street Address |
33306 PORTAL DR |
| City | LEESBURG |
| State | FL |
| Zip Code | 34788-3171 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346752060 | Latoya Luella Burnette | Homemaker | 9324 Cemetery Ave, Leesburg, FL 34788 | 2017-11-03 |
| 1407396781 | Rachelle Desir | Developmental Therapist | 33242 Kaylee Way, Leesburg, FL 34788 | 2017-03-06 |
| 1184752750 | Suzanne Mary Howard | Social Worker | 33057 Professional Drive, Lake Center of Hope, Leesburg, FL 34788 | 2007-03-02 |
| 1386798460 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 10041 Us Hwy 441, Suite E, Leesburg, FL 34788 | 2007-01-23 |
| 1558412486 | Samuel Bundz Md Pa | Surgery | 8112 Centralia Ct, Suite 101, Leesburg, FL 34788 | 2007-01-16 |
| 1174628481 | Foy Edward Dark Jr. | Chiropractor | 32629 Blossom Lane, Leesburg, FL 34788 | 2006-09-13 |
| 1033220744 | Miguel A Gonzalez | Internal Medicine | 33025 Professional Drive, Leesburg, FL 34788 | 2006-08-31 |
| 1215968821 | N Chandramohan Md Pa | Internal Medicine | 32845 Radio Road, Ste 102, Leesburg, FL 34788 | 2006-07-05 |
| 1548296361 | Endosurg Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 8100 Cr 44 Leg A, Leesburg, FL 34788 | 2006-06-23 |
| 1629014956 | Steven Joseph Nerad | Technician, Cardiology | 8135 Centralia Court, Suite 102, Leesburg, FL 34788 | 2006-06-22 |
| Find all providers in zip 34788 | ||||
| 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 |
|---|---|---|---|---|
| 1174124952 | Timothy Joel Stansfield | Massage Therapist | 43845 Thornberry Sq Unit 403, Leesburg, VA 20176-3402 | 2020-11-06 |
| 1831734151 | Massage Hope | Massage Therapist | 19490 Sandridge Way Ste 200, Leesburg, VA 20176-3467 | 2019-11-11 |
| 1932577517 | Rochelle Traupe | Massage Therapist | 708 Smartts Ln Ne, Leesburg, VA 20176-6610 | 2015-09-12 |
| 1295020899 | Charlene Coleman | Massage Therapist | 27405 Us Highway 27 Ste 115, Leesburg, FL 34748-7914 | 2011-06-13 |
| 1518263755 | Vincent Charles Cicchetti | Massage Therapist | 10401 Us Highway 441 Ste 326, Leesburg, FL 34788-7250 | 2011-02-06 |
| 1487974499 | Kathleen A Perry | Massage Therapist | 295 Bent Oak Ct, Leesburg, FL 34748-9559 | 2010-06-02 |
| 1730719998 | Brian Fillman | Massage Therapist | 116q Edwards Ferry Rd Ne, Leesburg, VA 20176-2301 | 2020-01-16 |
| 1144653767 | Alesha Marie Fox | Massage Therapist | 32749 Radio Rd, Leesburg, FL 34788-3901 | 2013-08-19 |
| 1326307455 | Kristin Leah Churchill | Massage Therapist | 1450 E North Blvd, Suite 2, Leesburg, FL 34748-5393 | 2012-05-09 |
| 1821370933 | Christopher Allen Cherry | Massage Therapist | 32749 Radio Rd, Leesburg, FL 34788-3901 | 2011-09-14 |
| Find all providers in LEESBURG | ||||
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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.