DEFIANCE THERAPEUTIC MASSAGE & WELLNESS CENTER, LLC (NPI# 1003117441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003117441 |
| Entity Type | Organization |
| Organization Name | DEFIANCE THERAPEUTIC MASSAGE & WELLNESS CENTER, LLC |
| Practice Address |
8081 Adams Ridge Rd Defiance OH 43512-9173 |
| Mailing Address |
8081 Adams Ridge Rd Defiance OH 43512 |
| Practice Telephone | 4194972112 |
| Practice Fax Number | 4194972114 |
| Mailing Telephone | 4194972112 |
| Mailing Fax Number | 4194972114 |
| Enumeration Date | 2010-11-16 |
| Last Update Date | 2010-11-16 |
| Authorized Official Name | MRS. CARRIE RADZIK (OWNER/ DIRECTOR) |
| Authorized Official Telephone | 4194972112 |
| Authorized Official Credential | ATC, LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | 65.000157 | OH | Other Service Providers |
| Y | 174400000X | Specialist | 33.014099 | OH | Other Service Providers |
| Street Address |
8081 ADAMS RIDGE RD |
| City | DEFIANCE |
| State | OH |
| Zip Code | 43512-9173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629305586 | Matthew M Hollo | Counselor | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2009-11-12 |
| 1942799515 | Deep Roots Wellness, LLC | Counselor | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2018-05-08 |
| 1568848091 | Karan Gottwald | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2015-08-06 |
| 1215313747 | Taylor Fisher | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2015-08-06 |
| 1205212735 | Whitney Snyder | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2015-08-06 |
| 1093199184 | Amber Morris | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2015-07-17 |
| 1578906509 | Sonja Michaelis | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2013-04-09 |
| 1073956082 | Tanya Chappuies | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2013-04-09 |
| 1114281300 | Alissa Marie Knapp | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2012-07-02 |
| 1902165657 | Carrie Radzik | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2012-05-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098768 | Dr. Bradley Pittman Dds Ltd. | Oral & Maxillofacial Surgery | 205 E. Second St., Defiance, OH 43512 | 2018-10-10 |
| 1285115147 | Tamara Lynn Junge | Social Worker | 1252 Ralston Avenue, #401, Defiance, OH 43512 | 2018-08-28 |
| 1306207568 | Deborah Lehnert | Licensed Practical Nurse | 511 Perry Street, Defiance, OH 43512 | 2016-03-16 |
| 1265857924 | P & R Home Iv Service, Inc. | Durable Medical Equipment & Medical Supplies | 1018 Ralston Avenue, Suite 107, Defiance, OH 43512 | 2014-03-04 |
| 1609020155 | Christina Marie Pergram | Physician Assistant | 1250 Rlaston Ave, Suite 104, Defiance, OH 43512 | 2008-11-11 |
| 1477740785 | Assisted Living Concepts Inc | Assisted Living Facility | 245 North Rosewood Avenue, Defiance, OH 43512 | 2007-10-01 |
| 1720127863 | Kathy Williams Homier | Counselor | 815 E Second St, Defiance, OH 43512 | 2007-02-05 |
| 1407944960 | Oak Health Care Investors of Defiance, Inc. | Durable Medical Equipment & Medical Supplies | 1701 South Jefferson Ave, Defiance, OH 43512 | 2006-10-10 |
| 1184733719 | Shane Aaron Klingler | Chiropractor | 1770 Jefferson Ave, Defiance, OH 43512 | 2006-08-29 |
| 1396751327 | Elizabeth Marie Seibert | Pharmacist | 1245 E Second St, Defiance, OH 43512 | 2006-07-31 |
| Find all providers in zip 43512 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679009526 | K2pt LLC | Specialist | 2610 Harper Rd, Defiance, OH 43512-9133 | 2017-05-11 |
| 1114352051 | Annette Jo Miller | Specialist | 309 Clinton St, Defiance, OH 43512-2113 | 2013-09-11 |
| 1891743159 | Trevor Ward Poole | Specialist | 1250 Ralston Ave Ste 204, Defiance, OH 43512-5309 | 2006-05-05 |
| 1568848091 | Karan Gottwald | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2015-08-06 |
| 1215313747 | Taylor Fisher | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2015-08-06 |
| 1205212735 | Whitney Snyder | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2015-08-06 |
| 1093199184 | Amber Morris | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2015-07-17 |
| 1578906509 | Sonja Michaelis | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2013-04-09 |
| 1073956082 | Tanya Chappuies | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2013-04-09 |
| 1114281300 | Alissa Marie Knapp | Specialist | 8081 Adams Ridge Rd, Defiance, OH 43512-9173 | 2012-07-02 |
| Find all providers in DEFIANCE | ||||
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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.