BETH MARIE HOUSEHOLDER (NPI# 1992015051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992015051 |
| Entity Type | Individual |
| Full Name | BETH MARIE HOUSEHOLDER |
| Credential | L.M.T |
| Practice Address |
250 E Debbie Ln Mansfield TX 76063-9240 |
| Practice Telephone | 9728251494 |
| Mailing Telephone | 9728251494 |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2010-10-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT108730 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
250 E DEBBIE LN |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063-9240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689182743 | Julie Lynn Brown | Speech-Language Pathologist | 250 E Debbie Ln, Mansfield, TX 76063-9240 | 2018-01-10 |
| 1699029850 | Meredith Nieswiadomy | Physical Therapist | 250 E Debbie Ln, Mansfield, TX 76063-9240 | 2012-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| 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 |
|---|---|---|---|---|
| 1356956148 | Dawn Elizabeth Pouliot | Massage Therapist | 77 West St # A, Mansfield, MA 02048-2403 | 2020-09-09 |
| 1639702897 | Kathy L Hicks | Massage Therapist | 1086 Donal Dr, Mansfield, OH 44907-2648 | 2020-02-17 |
| 1942845508 | Philip Fank De Ricco | Massage Therapist | 590 Ash St, Mansfield, CT 06250 | 2019-11-07 |
| 1790253706 | Alanna Dawn Higgins | Massage Therapist | 981 Ashland Road, Mansfield, OH 44905 | 2018-11-07 |
| 1548768468 | Ieshia Cannon | Massage Therapist | 305 Regency Pkwy Ste 501, Mansfield, TX 76063-3795 | 2018-01-25 |
| 1396250825 | Carol Schmidt | Massage Therapist | 1804 Owen Ct Ste 102, Mansfield, TX 76063-4235 | 2017-12-06 |
| 1851836449 | Mindy Taylor | Massage Therapist | 847 Sites Rd, Mansfield, OH 44903-8854 | 2017-01-05 |
| 1801257670 | Mandy Jill Drugan | Massage Therapist | 1604 Pear Pl, Mansfield, OH 44905-2733 | 2016-03-08 |
| 1205260197 | Kaylene M Hunt | Massage Therapist | 625 Lexington Ave, Unit 5, Mansfield, OH 44907-1579 | 2013-08-27 |
| 1891074498 | Tammie R Lane | Massage Therapist | 1105 Alexis Ct, Mansfield, TX 76063-3343 | 2011-08-12 |
| Find all providers in MANSFIELD | ||||
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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.