THERESA MARIE REVELL (NPI# 1013416783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013416783 |
| Entity Type | Individual |
| Full Name | THERESA MARIE REVELL |
| Practice Address |
6539 Man O War Trl Tallahassee FL 32309-1615 |
| Practice Telephone | 8505975128 |
| Mailing Telephone | 8505975128 |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2018-02-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA28686 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6539 MAN O WAR TRL |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32309-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090995 | Canopy Counseling & Consulting LLC | Social Worker | 2709-4 Killarney Way, Tallahassee, FL 32309 | 2020-10-12 |
| 1164065975 | Kimberly Michelle Roberts | Technician | 3091 Hawks Landing Drive, Tallahassee, FL 32309 | 2019-10-24 |
| 1558911016 | Valerie Michelle Lewis | Technician | 12514 Moccasin Gap Road, Tallahassee, FL 32309 | 2019-09-17 |
| 1578027686 | Nicole Wolfe | Counselor | 2300 Killearn Center Blvd., Tallahassee, FL 32309 | 2019-01-23 |
| 1134588924 | Matthew Evers | Recreation Therapist | 3383 Aqua Ridge Way, Tallahassee, FL 32309 | 2016-02-22 |
| 1811393499 | Nick Tafuri | Counselor | 823 Sw Greenville Hills Road, Greenville, FL 32309 | 2014-11-10 |
| 1356689699 | Gallop Phedro Franklin II | Pharmacist | 3521 Thomasville, Tallahassee, FL 32309 | 2013-01-22 |
| 1871864157 | Darcee Ann Schmidt | Chiropractor | 3453 Welwyn Way, Tallahassee, FL 32309 | 2012-01-19 |
| 1700051802 | F & G Professional Care Coordinators LLC | Registered Nurse | 3458 Paces Ferry Rd, Tallahassee, FL 32309 | 2008-04-29 |
| 1588672489 | Dennis C Close | Dentist | 2929 Kerry Forest Parkway, Tallahassee, FL 32309 | 2006-08-04 |
| Find all providers in zip 32309 | ||||
| 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 |
|---|---|---|---|---|
| 1952929978 | Ora Fabian Enaytzadah | Massage Therapist | 723 Truman Ave, Tallahassee, FL 32314-8602 | 2020-07-07 |
| 1508240094 | Greg B White | Massage Therapist | 3735 Ravine Dr, Tallahassee, FL 32312-1151 | 2015-07-14 |
| 1811378318 | Florence Harmony | Massage Therapist | 726 W 10th Ave, Tallahassee, FL 32303-5305 | 2015-06-11 |
| 1962835843 | Axios Health Spa, LLC | Massage Therapist | 1122 Thomasville Rd Ste 3, Tallahassee, FL 32303-8702 | 2013-08-15 |
| 1063752665 | Regan Jager | Massage Therapist | 1460 Grape St, Tallahassee, FL 32303-5636 | 2013-02-20 |
| 1942540455 | Chantelle Yandow | Massage Therapist | 728 N Gadsden St, Tallahassee, FL 32303-6275 | 2013-02-20 |
| 1952676876 | Lindsay Kraft | Massage Therapist | 1820 Riggins Rd, Suite 1, Tallahassee, FL 32308-7834 | 2012-03-09 |
| 1285908491 | Benjamin Beldock | Massage Therapist | 203 Oakland Ave, Tallahassee, FL 32301-4441 | 2012-03-06 |
| 1801164751 | Ryan W Jones | Massage Therapist | 3808 Stewar Way, Tallahassee, FL 32303 | 2011-12-07 |
| 1427337898 | Jean Nixon | Massage Therapist | 1209 Lee Ave, Tallahassee, FL 32303-5848 | 2011-08-16 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32309 |
Please comment or provide details below to improve the information on THERESA MARIE REVELL.
| 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.