CORY FAIRCHILD (NPI# 1114383841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114383841 |
| Entity Type | Individual |
| Full Name | CORY FAIRCHILD |
| Credential | LMT |
| Practice Address |
7510 E Onza Ave Mesa AZ 85212-9747 |
| Practice Telephone | 4802037684 |
| Mailing Telephone | 4802037684 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT-17781 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7510 E ONZA AVE |
| City | MESA |
| State | AZ |
| Zip Code | 85212-9747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610302 | West Point Optical Group | Optometrist | 10706 E Point Twenty-two Blvd, #107, Mesa, AZ 85212 | 2020-08-18 |
| 1215553565 | Andrew Eugene Pak | Dentist | 10664 East Point Twenty-two Blvd, Mesa, AZ 85212 | 2020-06-23 |
| 1588200265 | Signal Butte Kids Dentistry and Orthodontics, LLP | Dentist | 10664 E. Point Twenty Two Blvd, Mesa, AZ 85212 | 2019-11-18 |
| 1194371526 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 4316 S Signal Butte Rd, Mesa, AZ 85212 | 2019-08-12 |
| 1194200980 | Highbury Dental Management, LLC | Dentist | 4425 S Mountain Rd, Suite 109, Mesa, AZ 85212 | 2018-09-27 |
| 1033623541 | Latanya Olivia Edenburgs | Case Manager/Care Coordinator | 10436 E Radiant Ave., Mesa, AZ 85212 | 2017-11-20 |
| 1205355880 | Linda Okafor | Nurse Practitioner | 4719 S Calderon Circle, Mesa, AZ 85212 | 2017-09-14 |
| 1689121188 | Agh Mesa LLC | General Acute Care Hospital | 9130 East Elliot Road, Mesa, AZ 85212 | 2016-09-01 |
| 1861841918 | Ryan Blake | Dentist | 4425 S. Mountain Road, Ste 109, Mesa, AZ 85212 | 2016-06-09 |
| 1083089460 | White Glove Health | Nurse Practitioner | 2906 S Lynch Cr, Mesa, AZ 85212 | 2015-12-10 |
| Find all providers in zip 85212 | ||||
| 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 |
| 1104470285 | Bruce Vaught | Massage Therapist | 6671 E Baseline Rd Ste 126, Mesa, AZ 85206-4328 | 2019-07-28 |
| 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 |
| Find all providers in MESA | ||||
Please comment or provide details below to improve the information on CORY FAIRCHILD.
| 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.