SHANE MCNUTT (NPI# 1114569373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114569373 |
| Entity Type | Individual |
| Full Name | SHANE MCNUTT |
| Credential | LMT |
| Practice Address |
4343 Newberry Rd Ste 4 Gainesville FL 32607-2822 |
| Mailing Address |
1826 Nw 39th Ter Gainesville FL 32605-3536 |
| Practice Telephone | 3523736565 |
| Mailing Telephone | 8637013533 |
| Enumeration Date | 2019-10-09 |
| Last Update Date | 2019-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 80016 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4343 NEWBERRY RD STE 4 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32607-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508415035 | Krissaley Vonn Blair | Physical Therapist | 4343 Newberry Rd Ste 4, Gainesville, FL 32607-2822 | 2019-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335917 | Jennifer Jay | Behavioral Analyst | 4020 Sw 21st Rd, Gainesville, FL 32607 | 2019-09-19 |
| 1184186942 | The Birth Center At Cwh | Clinic/Center | 4454 Nw 6th Place, Gainesville, FL 32607 | 2019-04-02 |
| 1356823371 | Wendy Gibbs | Marriage & Family Therapist | 200 Nw 75th Drive, Suite B, Gainesville, FL 32607 | 2018-09-06 |
| 1104314368 | Meghan Bowser | Student in an Organized Health Care Education/Training Program | Academic Health Center Room 408, 1600 Sw Archer Road, Gainesville, FL 32607 | 2018-04-24 |
| 1942707328 | Anne Marie Littell | Student in an Organized Health Care Education/Training Program | 1707 N. Main Street, Gainesville, FL 32607 | 2018-04-11 |
| 1609378173 | Jeremy Markoski | Behavior Technician | 2035 Sw 75th St Suite B, Gainesville, FL 32607 | 2018-03-01 |
| 1013428085 | Adaric Kelly | Student in an Organized Health Care Education/Training Program | 502 Sw 34th St Apt 8, Gainesville, FL 32607 | 2017-10-18 |
| 1215454830 | Whitney Kristine Schaff | Dentist | 6110 Nw 1st Pl, Gainesville, FL 32607 | 2017-08-24 |
| 1316476674 | Jason Amadio | Specialist/Technologist | 1000 Sw 62nd Blvd, Gainesville, FL 32607 | 2017-06-08 |
| 1245784552 | Traci Pettigrew | Acupuncturist | 4001 Newberry Rd A3, Gainesville, FL 32607 | 2016-08-04 |
| Find all providers in zip 32607 | ||||
| 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 |
|---|---|---|---|---|
| 1801496989 | Alivia L Mckamey | Massage Therapist | 533 Nw 28th St, Gainesville, FL 32607-2512 | 2020-10-28 |
| 1235736356 | Cayman Talcott | Massage Therapist | 2630 Nw 41st St Ste D2, Gainesville, FL 32606-6666 | 2020-10-01 |
| 1255947669 | Darren Cyrus | Massage Therapist | 14057 Indigo Bunting Ct, Gainesville, VA 20155-5863 | 2020-09-21 |
| 1326652389 | Michael James Watkins | Massage Therapist | 6418 Nw 39th Ave, Gainesville, FL 32606 | 2020-09-06 |
| 1689285256 | Nurtured Massage, LLC | Massage Therapist | 1330 Nw 6th St Ste D-1, Gainesville, FL 32601-2211 | 2020-08-16 |
| 1760093991 | Ilana S Melgarejo | Massage Therapist | 1976 Nw 2nd St Apt 2, Gainesville, FL 32609-4130 | 2020-08-11 |
| 1316562010 | Diane Marie Young | Massage Therapist | 7117 Sw Archer Rd Lot 2714, Gainesville, FL 32608-4664 | 2020-06-09 |
| 1346880002 | Elena Borneman | Massage Therapist | 3748 Nw 56th Ln, Gainesville, FL 32653-0827 | 2020-01-10 |
| 1548801491 | Megan Foster | Massage Therapist | Request Physical Therapy, 4820 Newberry Road, Gainesville, FL 32607-3260 | 2019-10-02 |
| 1396396974 | Michelle L Sharp | Massage Therapist | 4140 Nw 27th Ln Ste D, Gainesville, FL 32606-6600 | 2019-09-24 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32607 |
Please comment or provide details below to improve the information on SHANE MCNUTT.
| 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.