HEATHER R IAVELLI (NPI# 1063010288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063010288 |
| Entity Type | Individual |
| Full Name | HEATHER R IAVELLI |
| Other Name | HEATHER R DUDLEY |
| Practice Address |
220 Dumaire St White Lake MI 48383-2697 |
| Practice Telephone | 2486328777 |
| Mailing Telephone | 2486328777 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7501005331 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
220 DUMAIRE ST |
| City | WHITE LAKE |
| State | MI |
| Zip Code | 48383-2697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902431653 | Recovery Mobile Clinic | Clinic/Center | 3050 Steeple Road, White Lake, MI 48383 | 2020-03-03 |
| 1538656590 | Papuga Transportation Inc | Non-emergency Medical Transport (VAN) | 5924 Raup Rd, White Lake, MI 48383 | 2018-04-16 |
| 1326583170 | John Penley | Physical Medicine & Rehabilitation | 1630 Bogie Lake Rd, White Lake, MI 48383 | 2017-01-04 |
| 1083957146 | Kristin Varner | Social Worker | 6090 Rosewood Pkwy, White Lake, MI 48383 | 2013-03-27 |
| 1285868497 | Gloria Lynne Wilson | Registered Nurse | 6120 Rosewood Parkway, White Lake, MI 48383 | 2009-05-04 |
| 1215950019 | Thomas G Czarnecki | Chiropractor | 7025 Capri Dr, White Lake, MI 48383 | 2006-07-25 |
| 1669651550 | Josephine Mary Marks | Registered Nurse | 3874 Silver Birch, White Lake, MI 48383-1062 | 2007-10-29 |
| 1346794708 | Marisa Matthews | Dental Hygienist | 5780 Eagle Rd, White Lake, MI 48383-1210 | 2016-08-15 |
| 1184987299 | Angela Joerin | Psychologist | 5186 Lindholm Dr, White Lake, MI 48383-1447 | 2012-06-22 |
| 1124176508 | Brian Wade Dawson | Social Worker | 5150 Lake Grove Dr, White Lake, MI 48383-1452 | 2007-01-08 |
| Find all providers in zip 48383 | ||||
| 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 |
|---|---|---|---|---|
| 1124629043 | Nathaniel Farnsworth Barrino | Massage Therapist | 21940 Coolidge Hwy, Oak Park, MI 48237-2811 | 2020-11-06 |
| 1376144378 | Uper, Inc | Massage Therapist | 3197 E Rocky Trl, Cedarville, MI 49719-9560 | 2020-11-05 |
| 1700487832 | Emalee Ann Behem | Massage Therapist | 7880 Vincent Rd, Croswell, MI 48422-9010 | 2020-11-04 |
| 1588264238 | Courtney Altmaier | Massage Therapist | 1175 S Smith Rd, Cedarville, MI 49719-9564 | 2020-10-30 |
| 1023617990 | Beth Andrea Schipper | Massage Therapist | 2717 104th Ave, Zeeland, MI 49464-6801 | 2020-10-22 |
| 1528667722 | Elissa Marie Stewart | Massage Therapist | 118 Minnehaha St, Roscommon, MI 48653-7118 | 2020-10-20 |
| 1881292977 | Cheyanne English | Massage Therapist | 119 Columbia Ave E Ste 12, Battle Creek, MI 49015-3765 | 2020-10-12 |
| 1558968578 | Polly Ann Holmes | Massage Therapist | 359 W Nepessing St Ste B, Lapeer, MI 48446-2182 | 2020-10-02 |
| 1891302493 | Irene Dooley | Massage Therapist | 544 E Kirby St, Detroit, MI 48202-4121 | 2020-09-28 |
| 1639786593 | Giselle Marie Godin | Massage Therapist | 17273 Franklin Dr, Fraser, MI 48026-3343 | 2020-09-25 |
| Find all providers with the same taxonomy | ||||
| City | WHITE LAKE |
| Zip Code | 48383 |
Please comment or provide details below to improve the information on HEATHER R IAVELLI.
| 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.