JODY LEE HAZEL (NPI# 1093314148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093314148 |
Entity Type | Individual |
Full Name | JODY LEE HAZEL |
Credential | LMT |
Practice Address |
1750 E Colborn Camp Ln Noble IL 62868-2348 |
Practice Telephone | 6183021703 |
Mailing Telephone | 6183021703 |
Enumeration Date | 2020-10-20 |
Last Update Date | 2020-10-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 227.008542 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1750 E COLBORN CAMP LN |
City | NOBLE |
State | IL |
Zip Code | 62868-2348 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033718192 | Prairie Ridge Orthopedic | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154962181 | Christopher Spenner | Counselor | 229 East Poplar Street, Noble, IL 62868 | 2019-10-01 |
1437329208 | Maria L Totten | Interpreter | 2248 E Il 250, Noble, IL 62868 | 2008-03-07 |
1942394598 | West Richland Cusd No 2 | Local Education Agency (LEA) | 320 East North, Noble, IL 62868 | 2006-10-03 |
1174764260 | Cynthia Dawn Klingler | Developmental Therapist | 402 W South Ave, Noble, IL 62868-1804 | 2009-03-19 |
1962834754 | Kelsey Lynn Lee | Developmental Therapist | 103 Oak St, Noble, IL 62868-1904 | 2013-08-02 |
1225576325 | Karen Seals | Occupational Therapist | 2400 N Wakefield Rd, Noble, IL 62868-2553 | 2017-02-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700492428 | Sharri Ann Daily | Case Manager/Care Coordinator | 4420 132nd Ave Se, Noble, OK 73068-7121 | 2020-09-17 |
1508408311 | Marcus Shane Wahl | Registered Nurse | 121morningside Dr., Noble, OK 73068 | 2019-10-14 |
1154962181 | Christopher Spenner | Counselor | 229 East Poplar Street, Noble, IL 62868 | 2019-10-01 |
1780151118 | Dawnita R Randolph | Nurse Practitioner | 8703 80th St, Noble, OK 73068-9741 | 2018-10-24 |
1710482583 | Melissa Rachelle Blankenship | Case Manager/Care Coordinator | 12151 E Maguire Rd, Noble, OK 73068-7803 | 2018-03-26 |
1730619180 | Andrea Celia Nicole Arebalo | Homemaker | 7651 180 Th, Noble, OK 73068 | 2017-06-18 |
1841729241 | Yoyma Pedroso Lopez | Registered Nurse | 4521 192nd Ave Se, Noble, OK 73068 | 2017-06-08 |
1225576325 | Karen Seals | Occupational Therapist | 2400 N Wakefield Rd, Noble, IL 62868-2553 | 2017-02-08 |
1306392543 | Julie Curry | Counselor | 161 Roman Way, Noble, OK 73068 | 2016-08-28 |
1205380847 | Tamara Marine Wright | Peer Specialist | 903 E Maguire Rd Trlr 135, Noble, OK 73068-8479 | 2016-08-11 |
Find all providers in NOBLE |
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 |
---|---|---|---|---|
1033718192 | Prairie Ridge Orthopedic | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
1497354104 | Lola Sanders | Massage Therapist | 844 Wilshire Dr, Belleville, IL 62223-2623 | 2020-10-22 |
1003415001 | Amanda L Klimczak | Massage Therapist | 1231 Ridgeland Ave, Berwyn, IL 60402-1142 | 2020-10-21 |
1194323352 | Vanina Barnett | Massage Therapist | 112 Sussex Cir, Schaumburg, IL 60193-1835 | 2020-10-10 |
1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
1407463029 | Danielle Wright | Massage Therapist | 132 S Water St Ste 430, Decatur, IL 62523-2305 | 2020-09-28 |
1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
1780291872 | Jennifer Marshall | Massage Therapist | 6920 W 110th St, Worth, IL 60482-1425 | 2020-09-23 |
1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
1063028553 | Jerica N Mayo | Massage Therapist | 9430 S Loomis St # 9, Chicago, IL 60620-3615 | 2020-09-20 |
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.