BRUCE VAUGHT (NPI# 1104470285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104470285 |
Entity Type | Individual |
Full Name | BRUCE VAUGHT |
Credential | LMT |
Practice Address |
6671 E Baseline Rd Ste 126 Mesa AZ 85206-4328 |
Mailing Address |
3057 E Hobart St Gilbert AZ 85296-9173 |
Practice Telephone | 6233260545 |
Mailing Telephone | 6233260545 |
Enumeration Date | 2019-07-28 |
Last Update Date | 2019-07-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 24762 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
6671 E BASELINE RD STE 126 |
City | MESA |
State | AZ |
Zip Code | 85206-4328 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
Find all providers in zip 85206 |
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 |
---|---|---|---|---|
1699381038 | Tashawnna A Reddick | Massage Therapist | 855 W Southern Ave Apt 2080, Mesa, AZ 85210-5053 | 2020-09-21 |
1700401718 | Elaina Martinez | Massage Therapist | 4446 E University Dr Ste 104, Mesa, AZ 85205-7119 | 2020-06-15 |
1295374874 | Cassandra Roberts | Massage Therapist | 1145 S Power Rd Ste 104, Mesa, AZ 85206-5293 | 2019-12-31 |
1518429786 | Michael Todd Westover | Massage Therapist | 2301 E University Dr Unit 400, Mesa, AZ 85213-8355 | 2019-04-04 |
1497237606 | Touch of Life Massage | Massage Therapist | 1809 E University Dr Ste 102, Mesa, AZ 85203-8235 | 2018-09-04 |
1699273334 | Kimberly Pritchard | Massage Therapist | 6302 E Mckellips Rd, Mesa, AZ 85215-2821 | 2018-01-29 |
1306358635 | Jennifer Keeling | Massage Therapist | 2031 N Power Rd Ste 110, Mesa, AZ 85215-2945 | 2017-10-26 |
1851801112 | Lynn Benson | Massage Therapist | 1343 E Bates St, Mesa, AZ 85203-2055 | 2017-10-01 |
1639693922 | Nichole Samora Town | Massage Therapist | 5120 E Hampton Ave # 2111, Mesa, AZ 85206-6784 | 2017-07-28 |
1962853150 | Justin Parmele | Massage Therapist | 3130 E Baseline Rd Ste 110, Mesa, AZ 85204-7290 | 2016-06-28 |
Find all providers in MESA |
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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.