MR. JEFFERY ROY SMALL (NPI# 1942773668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942773668 |
| Entity Type | Individual |
| Full Name | MR. JEFFERY ROY SMALL |
| Credential | LMT |
| Practice Address |
3607 N Vine Tucson AZ 85719 |
| Practice Telephone | 5209914154 |
| Mailing Telephone | 5209914154 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 3000843 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3607 N VINE |
| City | TUCSON |
| State | AZ |
| Zip Code | 85719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649813635 | Ishani Ravindra Deo | Psychologist | 1051 E Mabel St, Tucson, AZ 85719 | 2019-10-22 |
| 1235793100 | Jacquelyn Christine Wagner | Pediatrics | 1625 N Campbell, Tucson, AZ 85719 | 2019-04-26 |
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1790245520 | Akash M Doshi | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Avenue, Bldg 2, Tuscon, AZ 85719 | 2019-03-20 |
| 1114434180 | Elizabeth Irene Welch | Behavioral Analyst | 1430 E Fort Lowell Rd Ste 100, Tucson, AZ 85719 | 2017-12-29 |
| 1477076255 | Medavail Pharmacy Inc. | Pharmacy | 1430 E Fort Lowell Rd Ste 120, Tucson, AZ 85719 | 2017-07-24 |
| 1134674872 | Samuel Durojaye | Student in an Organized Health Care Education/Training Program | 3838 N Campbell Ave, Bldg 2, Clinic E, Tucson, AZ 85719 | 2016-08-23 |
| Find all providers in zip 85719 | ||||
| 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 |
|---|---|---|---|---|
| 1215537832 | Jonathan Taylor | Massage Therapist | 230 N Shannon Rd Apt 6, Tucson, AZ 85745-1768 | 2020-11-01 |
| 1396344099 | William Cook | Massage Therapist | 6750 E Speedway Blvd, Tucson, AZ 85710-1220 | 2020-10-22 |
| 1811506074 | Marcella Arieta | Massage Therapist | 1625 W Ina Rd Ste 103, Tucson, AZ 85704-1975 | 2020-07-23 |
| 1316580079 | Raymond Yurcik | Massage Therapist | 5405 E Pima St, Tucson, AZ 85712-3674 | 2019-10-24 |
| 1992355457 | Daniela Muster | Massage Therapist | 5675 N Oracle Rd Ste 3202, Tucson, AZ 85704-3884 | 2019-09-17 |
| 1306403506 | Stephanie M Dixon | Massage Therapist | 5431 N Oracle Rd Ste 104a, Tucson, AZ 85704-0012 | 2019-05-22 |
| 1700340890 | Michelle Renee Rodriguez-mohr | Massage Therapist | 4626 E Fort Lowell Rd Ste F, Tucson, AZ 85712-1127 | 2019-01-23 |
| 1174008718 | Patricia Racina | Massage Therapist | 6700 N Oracle Rd Ste 236, Tucson, AZ 85704-7737 | 2018-09-29 |
| 1518446251 | Anastasia Padias | Massage Therapist | 4116 N 1st Ave Unit 1a, Tucson, AZ 85719-1098 | 2018-08-13 |
| 1518452713 | Deborah Beth Rubens | Massage Therapist | 3217 E 3rd St, Tucson, AZ 85716-4215 | 2018-06-29 |
| Find all providers in TUCSON | ||||
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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.