ADDISON JAMES REISER (NPI# 1932722410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932722410 |
| Entity Type | Individual |
| Full Name | ADDISON JAMES REISER |
| Credential | LMT |
| Practice Address |
310 Route 66 E Waynesville MO 65583-2648 |
| Practice Telephone | 5737743833 |
| Mailing Telephone | 5737743833 |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2018035179 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
310 ROUTE 66 E |
| City | WAYNESVILLE |
| State | MO |
| Zip Code | 65583-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447873914 | 2 for Him, LLC | Clinic/Center | 310 Route 66 E, Waynesville, MO 65583-2648 | 2020-05-19 |
| 1609499185 | Gary Leroy Hackney | Massage Therapist | 310 Route 66 E, Waynesville, MO 65583-2648 | 2020-05-19 |
| 1871116350 | Heike Hackney | Massage Therapist | 310 Route 66 E, Waynesville, MO 65583-2648 | 2020-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133460 | Fnp4jc, LLC | Family Medicine | 215 North Street, Waynesville, MO 65583 | 2020-01-23 |
| 1134770464 | Patricia Harper | Technician | 25455 Hwy W, Waynesville, MO 65583 | 2019-09-27 |
| 1619430519 | Charles L Quinn | Counselor | Hope Connections LLC 704 Historic Rte. 66w Suite 101, Waynesville, MO 65583 | 2019-04-09 |
| 1801340609 | Nicole Marie Decher | Social Worker | 704 Historic 66 W # 207, Waynesville, MO 65583 | 2016-08-09 |
| 1780952945 | Joseph Benton Isaac | Dentist | 1400 State Rd F, Reznicek Dental Group LLC, Waynesville, MO 65583 | 2011-12-02 |
| 1326325192 | Paul Duane Reznicek | Dentist | 1400 State Rt F, Waynesville, MO 65583 | 2011-11-08 |
| 1629366182 | Bletel Residential Homes | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18844 Ladera Ln, Waynesville, MO 65583 | 2011-07-19 |
| 1720218126 | Pulaski County Board for The Handicapped | Case Management | 301 Historic Route 66 East, Waynesville, MO 65583 | 2009-07-20 |
| 1447436001 | Joseph Garold Moody | Counselor | 1000 Hospital Road., Piney Ridge Center, Waynesville, MO 65583 | 2008-01-14 |
| 1841404746 | Valencia Sivells | Counselor | 411 Historic Rte 66 West, Waynesville, MO 65583 | 2007-05-09 |
| Find all providers in zip 65583 | ||||
| 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 |
|---|---|---|---|---|
| 1063078285 | Stephanie R Ganey-ashcraft | Massage Therapist | 291 Timberlane Rd, Waynesville, NC 28786-7929 | 2019-05-13 |
| 1427442110 | Jackie Rich | Massage Therapist | 379 Walnut St, Waynesville, NC 28786-3254 | 2015-03-20 |
| 1104158203 | Patricia Gail Melton | Massage Therapist | 32 Felmet St, Suite C, Waynesville, NC 28786-3605 | 2010-02-01 |
| 1609499185 | Gary Leroy Hackney | Massage Therapist | 310 Route 66 E, Waynesville, MO 65583-2648 | 2020-05-19 |
| 1871116350 | Heike Hackney | Massage Therapist | 310 Route 66 E, Waynesville, MO 65583-2648 | 2020-05-19 |
| 1386039535 | Lidia Gelis | Massage Therapist | 379 Walnut St, Waynesville, NC 28786-3254 | 2015-04-04 |
| 1972998136 | Tina Bates | Massage Therapist | 379 Walnut St, Waynesville, NC 28786-3254 | 2015-04-03 |
| 1356748388 | Casey K Dupree | Massage Therapist | 33 Valley View Ter, Waynesville, NC 28786-4548 | 2014-11-19 |
| 1568793396 | Laura A Roberts | Massage Therapist | 519 N Main St, Waynesville, NC 28786-3817 | 2010-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982211 | Evan Coonrod | Massage Therapist | 239 Steamboat Ln, Ballwin, MO 63011-3203 | 2020-11-02 |
| 1215537915 | Joseph Terry | Massage Therapist | 391 Chalmette Dr, Hazelwood, MO 63042-3532 | 2020-10-30 |
| 1043819642 | Ashley Chanele Ball | Massage Therapist | 959 W 42nd St Apt 201, Kansas City, MO 64111-4058 | 2020-10-23 |
| 1619576303 | Robert Wayne Fuller Jr. | Massage Therapist | 7211 Nw 83rd St Ste 207d, Kansas City, MO 64152-6022 | 2020-10-22 |
| 1346848991 | James Allen Brooks | Massage Therapist | 6436 Chippewa St, Saint Louis, MO 63109-2106 | 2020-10-15 |
| 1265030845 | Rhonda Kay Newton | Massage Therapist | 22768 Mo-39 Suite B, Aurora, MO 65605 | 2020-10-15 |
| 1841898798 | Justin Eric Mcmiller | Massage Therapist | 1255 Swallow Ln, Florissant, MO 63031-3326 | 2020-10-13 |
| 1982201471 | Kendra Wright | Massage Therapist | 115 W 99th Ter Apt 206, Kansas City, MO 64114-4330 | 2020-10-07 |
| 1447857651 | Sara E Sobery | Massage Therapist | 5 Carpenter Dr, Saint Peters, MO 63376-1925 | 2020-10-01 |
| 1801403167 | Kevin Phillip Cude | Massage Therapist | 35 Oxbow Rd, Saint Peters, MO 63376-1556 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | WAYNESVILLE |
| Zip Code | 65583 |
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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.