MELTDOWN DAY SPA (NPI# 1083169825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083169825 |
| Entity Type | Organization |
| Organization Name | MELTDOWN DAY SPA |
| Practice Address |
105 11th St Ne Watertown SD 57201-2852 |
| Practice Telephone | 6055209320 |
| Mailing Telephone | 6055209320 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |
| Authorized Official Name | MISS TERESA JANE SHAPE (OWNER) |
| Authorized Official Telephone | 6055209320 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT10532 | SD | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
105 11TH ST NE |
| City | WATERTOWN |
| State | SD |
| Zip Code | 57201-2852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245878032 | Samantha Kay Kratovil | Dietitian, Registered | 4 19th St Ne, Watertown, SD 57201 | 2019-12-12 |
| 1326516501 | Edgewood Watertown Mc 2 LLC | Assisted Living Facility | 225 14 Ave Ne, Watertown, SD 57201 | 2018-11-06 |
| 1023503406 | Rhonda Jean Cyre | Occupational Therapy Assistant | 613 B 1st Ave Se, Watertown, SD 57201 | 2018-06-27 |
| 1083160717 | Joyce Anderson | Psychologist | 1124 Konrady Dr. Ne, Watertown, SD 57201 | 2016-09-01 |
| 1336584630 | Jeffrey Alan Dorrity | Otolaryngology | 1201 Mickelson Dr, Watertown, SD 57201 | 2013-05-01 |
| 1427397389 | Vickie Lynn Burchatz | Occupational Therapy Assistant | 415 Fourth Avenue Ne, Golden Living Center, Watertown, SD 57201 | 2013-02-12 |
| 1215292560 | Eagle Vision | Eyewear Supplier (Equipment, not the service) | 906 1/2 9th Ave Se, Watertown, SD 57201 | 2012-07-11 |
| 1669777462 | Eve Lynn Hensler | Audiologist | 405 18th Ave. Ne, Professional Hearing Services, Inc., Watertown, SD 57201 | 2011-01-26 |
| 1760792261 | Maria Redmond | Physical Therapist | 810 South Maple, Watertown, SD 57201 | 2010-10-18 |
| 1194918995 | Colette Wheeler | Occupational Therapist | 17330, 458th Ave, Watertown, SD 57201 | 2007-08-24 |
| Find all providers in zip 57201 | ||||
| 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 |
|---|---|---|---|---|
| 1942807268 | Kristine Marie Loomis | Massage Therapist | 41 Crestview Dr, Watertown, CT 06795-1814 | 2020-10-09 |
| 1598378952 | Patric Burke | Massage Therapist | 409 Territorial Road, Watertown, MN 55388 | 2020-08-26 |
| 1033757844 | Laura A Stamboly | Massage Therapist | 93 Public Sq, Watertown, NY 13601-2626 | 2019-12-12 |
| 1548735020 | Patrick R Neal | Massage Therapist | 424a Vanduzee St, Watertown, NY 13601-1163 | 2018-10-10 |
| 1295125573 | Angela Marie Weldon | Massage Therapist | 165 Polk St, Watertown, NY 13601-2763 | 2015-01-26 |
| 1881003689 | Holly Norton | Massage Therapist | 135 French St, Watertown, CT 06795-2922 | 2014-08-05 |
| 1215534821 | Clark Albert Heady | Massage Therapist | 165 Mechanic St, Watertown, NY 13601-2677 | 2020-10-06 |
| 1245866318 | Morgan Sutherland | Massage Therapist | 173 Mount Auburn St, Watertown, MA 02472-4005 | 2020-03-20 |
| 1609416247 | Kathie Thayer Connor | Massage Therapist | 93 Public Sq, Watertown, NY 13601-2626 | 2020-01-12 |
| 1760021125 | Michelle Grant | Massage Therapist | 8 5th St Se, Watertown, SD 57201-3713 | 2020-01-03 |
| Find all providers in WATERTOWN | ||||
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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.