MRS. LEEANN MARIE SHOLL (NPI# 1033775580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033775580 |
Entity Type | Individual |
Full Name | MRS. LEEANN MARIE SHOLL |
Credential | LMT, PTA |
Practice Address |
224 Liberty St Unit A Warren PA 16365-2344 |
Mailing Address |
2 Cutting St Jamestown NY 14701-7217 |
Practice Telephone | 8142305909 |
Mailing Telephone | 7164891233 |
Enumeration Date | 2019-05-09 |
Last Update Date | 2019-06-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 225200000X | Physical Therapy Assistant | 010794-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 225200000X | Physical Therapy Assistant | TEI004449 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 225700000X | Massage Therapist | MSG012750 | PA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
224 LIBERTY ST UNIT A |
City | WARREN |
State | PA |
Zip Code | 16365-2344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
Find all providers in zip 16365 |
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 |
---|---|---|---|---|
1578162855 | Kelsey Coffey | Massage Therapist | 2400 Niles Cortland Rd Se Ste 5, Warren, OH 44484-3869 | 2020-10-19 |
1093321945 | Renee Mackenzie | Massage Therapist | 7575 Prospect Ave, Warren, MI 48091-2918 | 2020-09-16 |
1336764505 | Nicole Nowicki | Massage Therapist | 30222 Marrocco Dr, Warren, MI 48088-3329 | 2020-06-12 |
1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
1053856450 | Jennifer Williamas | Massage Therapist | 11212 Sherman Ave, Warren, MI 48089-3013 | 2016-12-21 |
1851836233 | Monet Murrell Spivey | Massage Therapist | 32849 Lorriaine Ave, Warren, MI 48093 | 2016-12-21 |
1518327378 | Jamie Cohen | Massage Therapist | 30521 Schoenherr Rd # 100, Warren, MI 48088-3161 | 2016-03-07 |
1295113678 | Michelle Cuffar | Massage Therapist | 31224 Gardendale Dr, Warren, MI 48088-7355 | 2015-05-18 |
1497141881 | Apex Health and Fitness Limited Liability Company | Massage Therapist | 258 King George Rd, Warren, NJ 07059-5178 | 2015-04-13 |
1164814703 | Catalina Jorascu | Massage Therapist | 13626 Martin Rd, Warren, MI 48088-4338 | 2015-02-18 |
Find all providers in WARREN |
Please comment or provide details below to improve the information on MRS. LEEANN MARIE SHOLL.
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.