MR. TIM HERLIHY (NPI# 1063789964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063789964 |
| Entity Type | Individual |
| Full Name | MR. TIM HERLIHY |
| Credential | LMT |
| Practice Address |
3016 3rd St S Unit 102 Jacksonville Beach FL 32250-6011 |
| Mailing Address |
27 Arbor Club Dr Unit 216 Ponte Vedra Beach FL 32082-2666 |
| Practice Telephone | 9044735913 |
| Mailing Telephone | 9044735913 |
| Enumeration Date | 2011-11-20 |
| Last Update Date | 2011-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA66119 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3016 3RD ST S UNIT 102 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-6011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245599281 | Jacksonville Acupuncture Wellness, Pa | Acupuncturist | 3016 3rd St S, Suite 102, Jacksonville Beach, FL 32250-6011 | 2012-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| 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 |
|---|---|---|---|---|
| 1942814082 | Sarah L Sleigher | Massage Therapist | 1017 8th St N, Jacksonville Beach, FL 32250-4712 | 2020-09-05 |
| 1134678584 | Julia E Everson | Massage Therapist | 2320 3rd St S Ste 12, Jacksonville Beach, FL 32250-4057 | 2016-09-27 |
| 1659776078 | Sandra J Terrazzano | Massage Therapist | 1208 10th St N, Jacksonville Beach, FL 32250-3608 | 2014-10-28 |
| 1932524790 | Alisha Evans | Massage Therapist | 1422 3rd St N, Jacksonville Beach, FL 32250-7350 | 2014-03-03 |
| 1861782815 | Jeff Colin Mette | Massage Therapist | 368 Osceola Ave, Jacksonville Beach, FL 32250-4056 | 2011-04-11 |
| 1104127711 | Joyce Ann Savitz | Massage Therapist | 391 3rd Ave S, Jacksonville Beach, FL 32250-5419 | 2010-11-12 |
| 1902034481 | Jennifer Maxine Eckensberger | Massage Therapist | 603 3rd St S, Jacksonville Beach, FL 32250-6625 | 2009-06-23 |
| 1932375698 | Jennifer Kathleen Goodermote | Massage Therapist | 1105 20th St N, Jacksonville Beach, FL 32250-2892 | 2008-05-02 |
| 1497873624 | Terry Ryder | Massage Therapist | 2290 2nd St S, Jacksonville Beach, FL 32250-6149 | 2007-03-26 |
| 1538206016 | Brian Joseph Grady | Massage Therapist | 2344 S 3rd St., Jacksonville Beach, FL 32250 | 2007-01-31 |
| Find all providers in JACKSONVILLE BEACH | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on MR. TIM HERLIHY.
| 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.