MR. DEJUAN EUGENE WILLIAMS SR. (NPI# 1972722122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972722122 |
| Entity Type | Individual |
| Full Name | MR. DEJUAN EUGENE WILLIAMS SR. |
| Credential | LMT |
| Practice Address |
155 Forestwood Dr Saint Louis MO 63135-2826 |
| Practice Telephone | 3143950837 |
| Mailing Telephone | 3143950837 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2005014076 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881248771 | Dejuan Williams | Case Manager/Care Coordinator | 6425 W 12th St, Little Rock, AR 72204-1509 | 2019-07-29 |
| Street Address |
155 FORESTWOOD DR |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63135-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487147559 | Rising Star Home Health Care LLC | Home Health | 1578 Knollstone Dr, Ferguson, MO 63135 | 2018-06-12 |
| 1396265617 | Rosemark Care LLC | In Home Supportive Care | 1212 Hudson Hills, Saint Louis, MO 63135 | 2017-06-27 |
| 1881066074 | Grandma's Hands In-home Services LLC | In Home Supportive Care | 119 Church Street Suite 121, Ferguson, MO 63135 | 2015-10-27 |
| 1518364983 | Rescued Home Health Svc Inc | Home Health | 1438 Chambers Rd, St Louis, MO 63135 | 2014-12-01 |
| 1164860375 | Let's Talk Teen Clinic Inc. | Clinic/Center | 119 Church Street, Suite 131, Ferguson, MO 63135 | 2013-06-10 |
| 1003169657 | Robyn L. Lawrence Dc, PC | Chiropractor | 111 Church St., Suite 111, Ferguson, MO 63135 | 2012-10-19 |
| 1528343308 | Bryan Victor Schneider | Pharmacist | 190 North Florrisant Rd, Ferguson, MO 63135 | 2011-10-12 |
| 1336457845 | The Sanctuary Adult Program, LLC | Nursing Care | 1440 Chambers Rd, Saint Louis, MO 63135 | 2010-09-17 |
| 1265639090 | Lrt Professional Health Services Inc | Home Health | 602 Hunters Ridge Dr, Ferguson, MO 63135 | 2007-06-27 |
| 1225160146 | Easter Seals Midwest | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 303 Calverton Road, St. Louis, MO 63135 | 2007-03-09 |
| Find all providers in zip 63135 | ||||
| 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 |
|---|---|---|---|---|
| 1346848991 | James Allen Brooks | Massage Therapist | 6436 Chippewa St, Saint Louis, MO 63109-2106 | 2020-10-15 |
| 1083220354 | Jennifer Nahmensen | Massage Therapist | 5433 Cherryview Ln, Saint Louis, MO 63128-3729 | 2020-09-21 |
| 1700492147 | Kelly L Reilly | Massage Therapist | 555 N Harrison Ave Apt 2w, Saint Louis, MO 63122-3969 | 2020-09-21 |
| 1205441862 | Blanche Haley | Massage Therapist | 3664 Montana St Fl 1, Saint Louis, MO 63116-4514 | 2020-09-10 |
| 1306450820 | Ana Wooldridge | Massage Therapist | 7241 Saint Andrews Pl, Saint Louis, MO 63121-5028 | 2020-09-02 |
| 1124652391 | Bobby James Wright | Massage Therapist | 1722 Olive St Ste 212, Saint Louis, MO 63103-1700 | 2020-02-26 |
| 1083253520 | Shaka D Mccormick | Massage Therapist | 2804 Osage St, Saint Louis, MO 63118-4537 | 2020-01-01 |
| 1073025763 | Cyretha Ann Staton | Massage Therapist | 2110 Armitage Dr, Saint Louis, MO 63136-6105 | 2017-11-02 |
| 1891211017 | Jerrad Lee Benton | Massage Therapist | 2430 Tellicherry Dr, Saint Louis, MO 63125-3108 | 2017-08-18 |
| 1538605761 | Jamal Carter | Massage Therapist | 12127 Bellefontaine Rd, Suite 16, Saint Louis, MO 63138-1916 | 2017-01-11 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63135 |
Please comment or provide details below to improve the information on MR. DEJUAN EUGENE WILLIAMS SR..
| 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.