CANDICE RENEE GAULTNEY (NPI# 1942616008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942616008 |
| Entity Type | Individual |
| Full Name | CANDICE RENEE GAULTNEY |
| Credential | LMT |
| Practice Address |
102 W 2nd St Manchester GA 31816 |
| Mailing Address |
102 W 2nd St Manchester GA 31816-1647 |
| Practice Telephone | 7068468337 |
| Mailing Telephone | 7068468337 |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2014-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT006116 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
102 W 2ND ST |
| City | MANCHESTER |
| State | GA |
| Zip Code | 31816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184987935 | Clyde Copeland | Driver | 5465 Scenic Hts, Manchester, GA 31816 | 2012-06-18 |
| 1417129081 | Fuller Life Chiropractic Center PC | Chiropractor | 23 East Main St, Manchester, GA 31816 | 2008-03-24 |
| 1861694374 | Richard L Ousley Dds PC | Dentist | 404 West Perry Street, Manchester, GA 31816 | 2007-06-05 |
| 1558424093 | Fuller Life Chiropractic Center | Chiropractor | 23 East Main Street, Manchester, GA 31816 | 2006-12-18 |
| 1174980262 | Mortar & Pestle, LLC | Pharmacy | 1194 Warm Springs Hwy, Manchester, GA 31816 | 2016-01-21 |
| 1942586607 | Fuller Life Solutions | Chiropractor | 23 E Main St, Manchester, GA 31816 | 2011-10-26 |
| 1750419446 | Beckhams Hhc Pharmacy Inc | Pharmacist | 1194 Warm Springs Hwy, Manchester, GA 31816-1166 | 2007-03-02 |
| 1326006222 | Clemson Sports Medicine and Rehabilitation, Inc | Clinic/Center | 1140 Warm Springs Hwy, Manchester, GA 31816-1166 | 2006-05-02 |
| 1942296017 | Allan William Moore | Optometrist | 1180 Warm Springs Hwy, Manchester, GA 31816-1166 | 2005-09-23 |
| 1609196278 | Patricia Ann Tribble | Specialist | 1140 Warm Springs Hwy, Manchester, GA 31816-1166 | 2010-06-07 |
| Find all providers in zip 31816 | ||||
| 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 |
|---|---|---|---|---|
| 1952918922 | Brian Eaker | Massage Therapist | 1250 Knollhaven Dr, Manchester, MO 63021-5419 | 2020-09-24 |
| 1487260881 | Amy Marie Dubenetsky | Massage Therapist | 642 Hilliard St Ste 1317, Manchester, CT 06042-2705 | 2020-09-21 |
| 1679195473 | Megan Ross-harris | Massage Therapist | 356 Manchester Square Shopping Center, Manchester, KY 40962-4096 | 2020-05-14 |
| 1790323228 | Karen Elizabeth Nord | Massage Therapist | 670 N Commercial St Ste 22, Manchester, NH 03101-1140 | 2019-12-16 |
| 1689228033 | Katherine Rose Brown | Massage Therapist | 709 Emerson St, Manchester, TN 37355-2007 | 2019-07-24 |
| 1952960502 | Amylynn M Walker | Massage Therapist | 539 Maple St, Manchester, NH 03104-4951 | 2019-06-07 |
| 1104329515 | Michael Kimball | Massage Therapist | 944 Elm St Ste 21, Manchester, NH 03101-2020 | 2018-03-12 |
| 1386098218 | Donna Briggs | Massage Therapist | 740 Pine St, Manchester, NH 03104-3108 | 2016-04-18 |
| 1649630740 | Amber Fraga | Massage Therapist | 908 Hanover St Ste 3, Manchester, NH 03104-5418 | 2016-03-02 |
| 1245698745 | Lisa Poole | Massage Therapist | 50 Pheasant Ln, Manchester, NH 03109-5927 | 2016-01-29 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 31816 |
Please comment or provide details below to improve the information on CANDICE RENEE GAULTNEY.
| 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.