MIRACLE TAYLOR (NPI# 1992304810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992304810 |
| Entity Type | Individual |
| Full Name | MIRACLE TAYLOR |
| Credential | LMT, CES |
| Practice Address |
1818 Paloma Ave Sanford FL 32771-3584 |
| Practice Telephone | 4075584457 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 58785 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1818 PALOMA AVE |
| City | SANFORD |
| State | FL |
| Zip Code | 32771-3584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134695224 | Sheena L Grayson | Pharmacist | 4942 W State Rd 46, Suite 1014, Sanford, FL 32771 | 2018-10-16 |
| 1699284299 | Christopher Ryan King | Chiropractor | 1026 Old England Loop, Sanford, FL 32771 | 2017-09-26 |
| 1669991345 | Scarlett Sierra | Counselor | 401 W Seminole Blvd, Sanford, FL 32771 | 2017-09-14 |
| 1881132249 | Tracy Shibla | Nurse Practitioner | 2320 Retreat View Cir, Sanford, FL 32771 | 2017-02-06 |
| 1205387206 | Tabitha Boyd | Behavior Technician | 4136 Geranium Ln #102, Sanford, FL 32771 | 2016-10-14 |
| 1104275874 | Jessica Willis | Nurse Anesthetist, Certified Registered | 108 Temple Dr, Sanford, FL 32771 | 2016-06-03 |
| 1013379957 | Bai Medical LLC | Point of Service | 580 Lexington Green Lane, Sanford, FL 32771 | 2016-03-21 |
| 1710347851 | Melissa T Ramsawak | Nurse Practitioner | 4930 East Lake Mary Boulevard, Sanford, FL 32771 | 2016-03-02 |
| 1811394570 | Tanesha Burns | Counselor | 209 San Carlos Ave Ste 111a, Sanford, FL 32771 | 2014-11-24 |
| 1053717322 | Amy Hertz, Dmd and Minta Lopez-torres, Dmd | Dentist | 5030 West Sr 46, Suite 1018, Sanford, FL 32771 | 2014-11-13 |
| Find all providers in zip 32771 | ||||
| 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 |
|---|---|---|---|---|
| 1477103117 | Sade Eniola | Massage Therapist | 201 Marathon Ln, Sanford, FL 32771-5203 | 2019-09-15 |
| 1326428947 | Casey Hill | Massage Therapist | 105 Sand Pond Rd, Sanford, ME 04073-5133 | 2015-06-09 |
| 1093138133 | Ogham Yogam Inc. | Massage Therapist | 1417 S Oak Ave, Sanford, FL 32771-3449 | 2014-01-25 |
| 1689933525 | Knead2relax Massage Therapy, Inc | Massage Therapist | 229 Bellagio Cir, Sanford, FL 32771-5001 | 2012-05-13 |
| 1104145945 | Joy Irene Bouchardthompson | Massage Therapist | 105 N Hampton Ct, Sanford, FL 32773-7316 | 2010-05-19 |
| 1174841548 | Jenna Witt Wilkins | Massage Therapist | 107 E Lake Mary Blvd, Sanford, FL 32773-7111 | 2010-05-11 |
| 1528202561 | Heidi Deborah Krenzke | Massage Therapist | 474 Taylor Dr., Sanford, MI 48657 | 2009-04-21 |
| 1124269873 | Traci Renee Barnes | Massage Therapist | 114 Lakeside Cir, Sanford, FL 32773-5668 | 2009-03-10 |
| 1811186158 | Julee Cay Supan-mathieu | Massage Therapist | 29 Brunelle Ave, Sanford, ME 04073-5530 | 2007-10-23 |
| 1629628870 | Shellie Morin | Massage Therapist | 1725 Main St Ste 7, Sanford, ME 04073-2498 | 2019-09-18 |
| Find all providers in SANFORD | ||||
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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.