LISA LABOTTE (NPI# 1053709519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053709519 |
| Entity Type | Individual |
| Full Name | LISA LABOTTE |
| Practice Address |
900 W White St Marion IL 62959-1855 |
| Practice Telephone | 6188893220 |
| Practice Fax Number | 6189697174 |
| Mailing Telephone | 6188893220 |
| Mailing Fax Number | 6189697174 |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2015-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227.006986 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ILLINOIS DEPARTMENT OF FEDERAL AND PROFESSIONAL REGULATION | 227.006986 | 01 |
| Street Address |
900 W WHITE ST |
| City | MARION |
| State | IL |
| Zip Code | 62959-1855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| 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 |
|---|---|---|---|---|
| 1659978484 | Cedrick K Sheem | Massage Therapist | 831 Bluestone Ct, Marion, SC 29571-6060 | 2020-10-05 |
| 1497388623 | Jodi Lee Brankle | Massage Therapist | 1414 W Factory Ave, Marion, IN 46952-2431 | 2020-02-17 |
| 1477907574 | Bryant Cruz | Massage Therapist | 1123 Debbie Dr, Marion, TX 78124-1641 | 2016-04-15 |
| 1497175004 | Alisa Denise Thompkins | Massage Therapist | 1311 S Western Ave, Marion, IN 46953-1539 | 2014-04-22 |
| 1912333667 | Jessica Lee Otter | Massage Therapist | 1260 35th St Ste 1, Marion, IA 52302-1712 | 2013-09-25 |
| 1558624809 | Dana Watts | Massage Therapist | 1199 Delaware Ave Ste 102c, Marion, OH 43302-7462 | 2012-06-21 |
| 1871879569 | Brandi Letitica Davis | Massage Therapist | 227 Henderson St, Marion, VA 24354-3013 | 2011-10-26 |
| 1891097200 | Tammy Hyatt Erwin | Massage Therapist | 112 Palmetto Pointe Rd, Marion, SC 29571-6722 | 2010-11-18 |
| 1003478249 | Sarah Boniface | Massage Therapist | 999 44th St Ste 10000, Marion, IA 52302-3833 | 2019-07-08 |
| 1396298790 | Aimee Bernier | Massage Therapist | 238 Wareham Rd, Marion, MA 02738-1166 | 2016-08-02 |
| Find all providers in MARION | ||||
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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.