SUSAN H SPENCER (NPI# 1922401959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922401959 |
| Entity Type | Individual |
| Full Name | SUSAN H SPENCER |
| Credential | L.M.T |
| Practice Address |
10790 W La Grange St Boise ID 83709-6264 |
| Practice Telephone | 2088633364 |
| Mailing Telephone | 2088633364 |
| Enumeration Date | 2014-10-05 |
| Last Update Date | 2014-10-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MASG-852 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730643214 | Susan Derian Spencer | Physical Therapist | 13142 N Hunters Cir, San Antonio, TX 78230-2843 | 2019-01-29 |
| 1659589125 | Susan Elizabeth Spencer | Specialist/Technologist, Other | 777 E Girard, Suite 250, Englewood, CO 80113 | 2007-05-18 |
| 1144343799 | Susan Spencer | Speech-Language Pathologist | Compro, 711 Bingham St, Pittsburgh, PA 15203 | 2007-04-09 |
| 1659423044 | Susan Elizabeth Spencer | Pharmacist | 9740b University City Blvd, Charlotte, NC 28213-3608 | 2007-01-17 |
| 1710088661 | Susan Spencer | Counselor | 53 Hindman Bypass Rd, Hindman, KY 41822 | 2006-09-25 |
| 1386619898 | Susan Beyer Spencer | Nurse Practitioner | 1521 N. Cooper St, Suite 630, Arlington, TX 76011 | 2006-02-18 |
| 1518937861 | Susan Shackelford Spencer | Social Worker | 365 Chaffin Ridge Ct, Roswell, GA 30075-2351 | 2006-01-26 |
| 1821624545 | Susan Carol Spencer | Speech-Language Pathologist | 550 Munson Ave, Traverse City, MI 49686-3580 | 2020-03-13 |
| 1457767352 | Susan Spencer | Massage Therapist | 6580 N Northwest Hwy, Chicago, IL 60631-1415 | 2014-07-11 |
| 1225478217 | Susan Janet Spencer | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2013-07-05 |
| Street Address |
10790 W LA GRANGE ST |
| City | BOISE |
| State | ID |
| Zip Code | 83709-6264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655398 | Jayme Rossow | Occupational Therapist | 101 S. Allumbaugh Way, Boise, ID 83709 | 2020-10-05 |
| 1578195285 | Kara Taylor | Counselor | 9196 W Barnes St., Boise, ID 83709 | 2020-02-11 |
| 1164080164 | Elena Stamm | Audiologist | 10000 W Amity Rd, Boise, ID 83709 | 2019-06-04 |
| 1326550096 | Lawrence D Anderson Md Estate | Optometrist | 8955 W Hackamore Dr, Boise, ID 83709 | 2017-11-02 |
| 1457879975 | Mark Aaron Phelan | Registered Nurse | 779 S. Tennyson Way, Boise, ID 83709 | 2017-09-05 |
| 1235665290 | Sharon Nelson | Dietitian, Registered | 2790 S Goshen Way, Boise, ID 83709 | 2017-05-11 |
| 1982139622 | First Choice Healthcare, Inc. | Home Health | 12400 W. Overland Rd., Ste 100, Boise, ID 83709 | 2017-05-01 |
| 1801320254 | Deborah Carson | Social Worker | 8349 West Harmonica Way, Boise, ID 83709 | 2017-04-12 |
| 1114479862 | Allyson Anne Bates | Nurse Practitioner | 10583 W Lake Hazel Road, Samg Family Medicine, Boise, ID 83709 | 2016-10-28 |
| 1508221391 | Elisha L. Garrison | Counselor | 9196 W. Barnes Street, Boise, ID 83709 | 2015-12-21 |
| Find all providers in zip 83709 | ||||
| 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 |
|---|---|---|---|---|
| 1588288344 | Elizabeth S Rogers-buuck | Massage Therapist | 5333 W Franklin Rd Ste C, Boise, ID 83705-1119 | 2020-06-07 |
| 1396369781 | Tina Marie Wright | Massage Therapist | 38 Mores Creek Cir, Boise, ID 83716-3026 | 2020-06-02 |
| 1669094348 | Lisa Marie Piscopo | Massage Therapist | 4940 E Mill Station Dr, Boise, ID 83716-8628 | 2020-05-15 |
| 1326688524 | Justin Kobbe Solace | Massage Therapist | 919 N 27th St Ste A, Boise, ID 83702-2130 | 2020-01-15 |
| 1679111090 | Veronica Renee Roby | Massage Therapist | 2034 E Independence Dr, Boise, ID 83706-5472 | 2019-12-16 |
| 1659838126 | Monica Tenaya | Massage Therapist | 1915 E Roanoke Dr, Boise, ID 83712-7528 | 2019-02-21 |
| 1750846382 | Katheryn Rekow | Massage Therapist | 1390 S Maple Grove Rd # 200, Boise, ID 83709-1610 | 2019-02-07 |
| 1114495868 | Angela Hastings | Massage Therapist | 6901 W Emerald St Ste 206, Boise, ID 83704-8660 | 2018-11-09 |
| 1861967275 | Chelsi Michaelyn Layton | Massage Therapist | 1625 W State St Ste 100, Boise, ID 83702-4003 | 2018-10-11 |
| 1346724366 | Deann L Holexa | Massage Therapist | 4485 N Dresden Pl, Boise, ID 83714-1379 | 2018-09-17 |
| Find all providers in BOISE | ||||
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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.