MR. TRAVIS JEFFREY PEACOCK (NPI# 1083931448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083931448 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS JEFFREY PEACOCK |
| Credential | LMT |
| Practice Address |
10100 Us Highway 231 Utica KY 42376-9340 |
| Practice Telephone | 2709250024 |
| Mailing Telephone | 2709250024 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | KY3559 | KY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
10100 US HIGHWAY 231 |
| City | UTICA |
| State | KY |
| Zip Code | 42376-9340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811371313 | Brittani Roberts | Counselor | 239 Hill Bridge Rd, Utica, KY 42376 | 2015-07-14 |
| 1265077101 | Brittany Ross | Nurse Practitioner | 930 State Route 140 E, Utica, KY 42376-9003 | 2019-11-14 |
| 1992023667 | John Allen Heidingsfelder | Pathology | 1997 Buford Rd, Utica, KY 42376-9130 | 2010-05-05 |
| 1477961902 | Andrea Howard | Registered Nurse | 3100 Girl Scout Rd, Utica, KY 42376-9358 | 2014-07-29 |
| 1699145912 | Megan Ashley Payne | Developmental Therapist | 6305 Hillside Dr, Utica, KY 42376-9539 | 2015-09-29 |
| 1124267125 | William E Pearson | Neurological Surgery | 9454 Parks Rd, Utica, KY 42376-9574 | 2009-02-13 |
| 1396111811 | Ashley Ann Payne | Occupational Therapist | 2592 Burton Rd, Utica, KY 42376-9594 | 2015-08-19 |
| 1942233366 | Heart, Lung, and Vascular Surgery, Psc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2737 Greenback Rd, Utica, KY 42376-9742 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447859160 | Julie Ann Norrocky | Home Health Aide | 431 N Jefferson St, Utica, OH 43080-9747 | 2020-10-23 |
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1700484979 | Morgan Eberley | Occupational Therapist | 1550 Herkimer Rd, Utica, NY 13502-2232 | 2020-10-11 |
| 1952908006 | Warren J. Baynes Sr. | Social Worker | 1537 Seymour Ave, Utica, NY 13501-5013 | 2020-10-01 |
| 1114531498 | Sheila Marie Ramos | Physical Therapist | 11709 Squiers Blvd, Utica, MI 48315-5935 | 2020-09-03 |
| 1003429101 | Kaylee Walker | Home Health Aide | 2341 Millersburg Rd Rear, Utica, OH 43080-9306 | 2020-08-28 |
| 1699385609 | Valerie E Lopata | Kinesiotherapist | 2615 Genesee St, Utica, NY 13501-6230 | 2020-08-04 |
| 1508475047 | Lanee Arlett Wallace | Occupational Therapist | 45752 Utica Park Blvd, Utica, MI 48315-5950 | 2020-07-30 |
| 1568080869 | Aubrey Michelle Dewey | Registered Nurse | 49394 Nicholette, Utica, MI 48317-2282 | 2020-07-13 |
| 1033736467 | Sidra Malik Zahoor | Student in an Organized Health Care Education/Training Program | 1712 Oneida St, Utica, NY 13501-5719 | 2020-07-01 |
| Find all providers in UTICA | ||||
| 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 |
|---|---|---|---|---|
| 1689230526 | Colette Griffith | Massage Therapist | 2108 Genesee St, Utica, NY 13502-5629 | 2019-05-16 |
| 1033610829 | Shawna Rene Cecelia Recore | Massage Therapist | 9834 River Rd, Utica, NY 13502-2304 | 2018-02-27 |
| 1659879864 | Cari A Heydrick | Massage Therapist | 8 Springate St, Utica, NY 13502-5412 | 2018-01-23 |
| 1750811055 | Michael Gary Murad | Massage Therapist | 45 Arlington Rd, Utica, NY 13501-6232 | 2017-06-19 |
| 1770034993 | Curry Mcmahon | Massage Therapist | 2707 Genesee St, Utica, NY 13501 | 2016-10-24 |
| 1417198532 | Billi Sobel | Massage Therapist | 2709 Genesee St Fl 2, Utica, NY 13502-6222 | 2009-03-19 |
| 1912475369 | Christine Marie Schram | Massage Therapist | 2700 Genesee St, Utica, NY 13502-6103 | 2018-11-04 |
| 1336465525 | Monique Angelique Dembrow | Massage Therapist | 2709 Genesee St, Utica, NY 13501-6222 | 2010-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312589 | Jorden E. Duvall | Massage Therapist | 703 W Ashland Ave, Louisville, KY 40215-2403 | 2020-10-07 |
| 1588261424 | Jennifer Coleman | Massage Therapist | 855 Lovers Ln Ste 104, Bowling Green, KY 42103-7989 | 2020-10-05 |
| 1205433323 | Audrey M Murphy | Massage Therapist | 214 S Washington St, Albany, KY 42602-1226 | 2020-10-01 |
| 1538766787 | Talina Rene Loren | Massage Therapist | 1340 S 3rd St Apt 217, Louisville, KY 40208-2332 | 2020-10-01 |
| 1033726146 | Erica Laaker | Massage Therapist | 3914 Highway 22 W, Falmouth, KY 41040-7005 | 2020-09-23 |
| 1972119238 | Phoebe Rae Salyers | Massage Therapist | 5219 Eureka Dr, Taylor Mill, KY 41015-2107 | 2020-09-21 |
| 1114532579 | Megan Trodglen | Massage Therapist | 3607 Ethelwood Dr, Louisville, KY 40299-3339 | 2020-09-12 |
| 1477166783 | Victoria Newman | Massage Therapist | 543 N 44th St, Louisville, KY 40212-2710 | 2020-08-26 |
| 1013529858 | Amber Nicole Squires | Massage Therapist | 2044 Midland Ave Apt 2, Louisville, KY 40204-2287 | 2020-08-22 |
| 1710599865 | Jessica D Boyd | Massage Therapist | 10102 Summit Park Pl Apt 201, Louisville, KY 40241-3833 | 2020-08-20 |
| Find all providers with the same taxonomy | ||||
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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.