AMBER NICOLE SQUIRES


Address: 2044 Midland Ave Apt 2, Louisville, KY 40204-2287
Phone: 5026096440

AMBER NICOLE SQUIRES (NPI# 1013529858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013529858
Entity Type Individual
Full Name AMBER NICOLE SQUIRES
Other Name AMBER NICOLE KYUROV
Practice Address 2044 Midland Ave Apt 2
Louisville
KY 40204-2287
Practice Telephone 5026096440
Enumeration Date 2020-08-22
Last Update Date 2020-08-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 225700000X Massage Therapist 265140 KY Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Y 225700000X Massage Therapist 2020027163 MO Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 2044 MIDLAND AVE APT 2
City LOUISVILLE
State KY
Zip Code 40204-2287

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1013017482 Bonnie L Varisco Social Worker 914 E. Broadway, 2nd, Louisville, KY 40204 2006-09-25
1902854334 Kevin B Spicer Pediatrics 834 E Broadway, Louisville, KY 40204 2006-05-05
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093312589 Jorden E. Duvall Massage Therapist 703 W Ashland Ave, Louisville, KY 40215-2403 2020-10-07
1538766787 Talina Rene Loren Massage Therapist 1340 S 3rd St Apt 217, Louisville, KY 40208-2332 2020-10-01
1114532579 Megan Trodglen Massage Therapist 3607 Ethelwood Dr, Louisville, KY 40299-3339 2020-09-12
1477166783 Victoria Newman Massage Therapist 543 N 44th St, Louisville, KY 40212-2710 2020-08-26
1710599865 Jessica D Boyd Massage Therapist 10102 Summit Park Pl Apt 201, Louisville, KY 40241-3833 2020-08-20
1124630363 Karli Shae Neutz Massage Therapist 1860 Mellwood Ave Ste 179, Louisville, KY 40206-1033 2020-08-19
1093332330 Elizabeth Heustis Massage Therapist 1012 Bluegrass Ave, Louisville, KY 40215-2314 2020-07-02
1396371860 Marcella Alice Thompson Massage Therapist 5516 Overbrook Woods Pl Apt 103, Louisville, KY 40291-5436 2020-03-17
1154951432 Suwannee Norwood Massage Therapist 3608 Springhurst Blvd, Louisville, KY 40241-4142 2020-01-24
1780223354 Jana P Saint Louis Massage Therapist 1169 Eastern Pkwy Ste 3412, Louisville, KY 40217-1420 2019-12-31
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Competitor

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City LOUISVILLE
Zip Code 40204

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Dataset Information

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.

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