MARTHA TELLEZ (NPI# 1114112034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114112034 |
Entity Type | Individual |
Full Name | MARTHA TELLEZ |
Practice Address |
1241 Blanding Blvd Orange Park FL 32065-5906 |
Mailing Address |
341 Gano Ave Orange Park FL 32073-4309 |
Practice Telephone | 9049824047 |
Mailing Telephone | 9049824047 |
Enumeration Date | 2007-09-13 |
Last Update Date | 2007-09-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA48362 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1241 BLANDING BLVD |
City | ORANGE PARK |
State | FL |
Zip Code | 32065-5906 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538709514 | Gardner Orthodontics | Dentist | 518 Hollyberry Lane, Suite 105, Orange Park, FL 32065 | 2020-01-08 |
1093366205 | Milagros J Morales | Nurse Practitioner | 625 Oakleaf Plantation Parkway, Unit 815, Orange Park, FL 32065 | 2019-09-28 |
1396239570 | Rebekah Lynne Fronczak | Assistant Behavior Analyst | 575 Oakleaf Plantation Pkwy, 1210, Orange Park, FL 32065 | 2018-06-20 |
1124512942 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 1081 Oakleaf Plantation Pkwy, Orange Park, FL 32065 | 2018-06-15 |
1447637772 | Petergay Angeleque Sterling | Counselor | 2114 Club Lake Drive, Orange Park, FL 32065 | 2015-05-06 |
1073942991 | Joy L. Dozier Smith | Social Worker | 1363 Akron Oaks Drive, Orange Park, FL 32065 | 2013-11-01 |
1942635800 | Demetta Vereen | Counselor | 573 Oakleaf Plantation Pkwy Unit 126, Orange Park, FL 32065 | 2013-09-11 |
1902248412 | Bashar Adeinat | Dentist | 1340 Blanding Blvd Ste 108, Orange Park, FL 32065 | 2013-07-25 |
1912253030 | Physical Therapy and Rehabilitation Clinic Inc | Physical Therapist | 1075 Oakleaf Plantation Parkway, Suite 105, Orange Park, FL 32065 | 2012-07-26 |
1275894529 | Stacy Quinn | Family Medicine | 769 Blanding Blvd Ste 7, Orange Park, FL 32065 | 2012-06-04 |
Find all providers in zip 32065 |
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 |
---|---|---|---|---|
1609481068 | Mariali Alexandra Verdi | Massage Therapist | 1181 Tumbleweed Dr, Orange Park, FL 32065-7428 | 2020-09-12 |
1033498159 | Shari Daniela Baldwin | Massage Therapist | 4074 Pebble Brooke Cir N, Orange Park, FL 32065-8204 | 2011-08-07 |
1720375645 | Amanda Lane Yoachum | Massage Therapist | 155-8 Blanding Blvd., Orange Park, FL 32073 | 2011-06-29 |
1790967867 | Alleyzee, Inc. | Massage Therapist | 1679 Eagle Harbor Pkwy East, Suite C, Orange Park, FL 32003-4816 | 2007-11-30 |
1205953551 | Kimberly Strasser D'ambrosio | Massage Therapist | 545 Milwaukee Ave, Orange Park, FL 32073-5539 | 2007-03-23 |
1184727596 | Sandra Rae Nelms | Massage Therapist | 4711 Hwy 17 So, Ste 7, Orange Park, FL 32003 | 2006-09-07 |
1982707394 | Eleanor D Waldron | Massage Therapist | 4711 Hwy 17 S Fleming Island Plaza, Evelyns Salon & Day Spa Ste 7, Orange Park, FL 32003 | 2006-09-07 |
1457301103 | Julie Teahan | Massage Therapist | 2430 Birdwood Dr, Orange Park, FL 32073-5326 | 2006-05-11 |
1235682196 | Lyndsey Mccool | Massage Therapist | 1409 Kingsley Ave, Orange Park, FL 32073-4537 | 2016-07-27 |
1720354319 | Amanda M Pennington | Massage Therapist | 1409 Kingsley Ave, Bldg 3, Orange Park, FL 32073-4537 | 2012-03-28 |
Find all providers in ORANGE PARK |
City | ORANGE PARK |
Zip Code | 32065 |
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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.