WANDA KAREN PERRY (NPI# 1124430103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124430103 |
Entity Type | Individual |
Full Name | WANDA KAREN PERRY |
Credential | CR, LMT, CMM |
Practice Address |
12357 Haynes St. Clinton LA 70722-3717 |
Mailing Address |
Po Box 663 Greensburg LA 70441-0663 |
Practice Telephone | 9855077617 |
Mailing Telephone | 9855077617 |
Enumeration Date | 2014-05-27 |
Last Update Date | 2014-05-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 3985 | LA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 173C00000X | Reflexologist | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326597469 | Wanda Lynn Perry | Speech-Language Pathologist | 47 Bailly Dr, Burlington, NJ 08016-4288 | 2016-09-30 |
1154607901 | Wanda Perry | Counselor | 401 N Herman St, Goldsboro, NC 27530-3816 | 2011-10-25 |
1962543959 | Wanda Perry | Case Manager/Care Coordinator | 238 Summar Dr, Jackson, TN 38301-3906 | 2007-02-10 |
Street Address |
12357 HAYNES ST. |
City | CLINTON |
State | LA |
Zip Code | 70722-3717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396784757 | Brit Joseph D'amico | Physical Therapist | 12357 Haynes St., Clinton, LA 70722-8508 | 2006-06-04 |
1770684631 | Feliciana Physical Therapy, LLC | Occupational Therapist | 12357 Haynes St., Clinton, LA 70722-8508 | 2006-09-25 |
1992814511 | Francine M. D'amico | Physical Therapist | 12357 Haynes St., Clinton, LA 70722-8508 | 2006-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700400025 | Just Health | Clinic/Center | 11315 Bank St, Clinton, LA 70722 | 2020-06-02 |
1609495464 | Just Health | Clinic/Center | 11312 Spring St, Clinton, LA 70722 | 2020-04-13 |
1023660248 | Visions Therapeutic Family Services | Counselor | 11504 Liberty Road, Clinton, LA 70722 | 2019-07-09 |
1497282743 | Sharon Vessel | Counselor | 10105 Plank Road Suite A, Clinton, LA 70722 | 2017-05-17 |
1417409152 | Ursula Shaw | Community/Behavioral Health | 10105 Plank Rd. Ste A, Clinton, LA 70722 | 2016-10-28 |
1235483777 | Excel Health Systems LLC | Durable Medical Equipment & Medical Supplies | 10735 Roosevelt Street, Clinton, LA 70722 | 2012-11-06 |
1053618413 | Lisa Hawkins Sorrel | Nurse Practitioner | 11323 Church St, Clinton, LA 70722 | 2011-02-22 |
1396063426 | Tony Edward Matthews Jr. | Technician | 11406 Spring Street, Clinton, LA 70722 | 2010-05-13 |
1144466061 | Lashica Cheronda Hilliard | Registered Nurse | 11990 Jackson St., Clinton, LA 70722 | 2008-12-23 |
1992951297 | Primary Care Providers for A Healthy Feliciana, Inc. | Clinic/Center | 10410 Plank Road, Clinton, LA 70722 | 2008-08-18 |
Find all providers in zip 70722 |
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 |
---|---|---|---|---|
1801333505 | Debbie Webster-wood | Massage Therapist | 2323 W 2220 N, Clinton, UT 84015-5706 | 2017-01-19 |
1891244208 | Kori Welch | Massage Therapist | 3872 Clinton Macon Rd, Clinton, MI 49236-9520 | 2016-09-27 |
1649650763 | Marsha D Davis | Massage Therapist | 6185 Pine Cone Dr, Clinton, MT 59825-9741 | 2015-06-03 |
1265838452 | Jodi Ann Thompson | Massage Therapist | 7248 Bailey Rd, Clinton, WA 98236-9716 | 2014-11-14 |
1407282296 | Roshaud L Lewis | Massage Therapist | 8969 Woodyard Rd, Clinton, MD 20735-4203 | 2013-09-24 |
1174827000 | Katherine S Tucker | Massage Therapist | 132 River Rd, Clinton, CT 06413-1053 | 2011-01-06 |
1275868655 | Celeen Marie Woodbury | Massage Therapist | 3929 Campbell Rd, Clinton, WA 98236-8642 | 2009-10-02 |
1225261498 | Monique Gaboury | Massage Therapist | 7149 Maxwelton Rd, Clinton, WA 98236-8813 | 2009-09-03 |
1861624561 | Darci M Duspiva | Massage Therapist | 11042 Sr 525 # Suiet106, Clinton, WA 98236-8618 | 2009-08-13 |
1235375833 | Amara S. Willey | Massage Therapist | 106 Leigh St, Clinton, NJ 08809-1312 | 2009-01-02 |
Find all providers in CLINTON |
Please comment or provide details below to improve the information on WANDA KAREN PERRY.
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.