WISHING WELL CLINIC & SPA, LLC (NPI# 1124679519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124679519 |
| Entity Type | Organization |
| Organization Name | WISHING WELL CLINIC & SPA, LLC |
| Practice Address |
153 E, Spring Street St Marys OH 45885 |
| Mailing Address |
4 E. Auglaize Wapakoneta OH 45895 |
| Practice Telephone | 4193941402 |
| Mailing Telephone | 4193941402 |
| Mailing Fax Number | 4193943597 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Authorized Official Name | MRS. KENDRA E. FERRALL (OWNER) |
| Authorized Official Telephone | 4193941402 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
153 E, SPRING STREET |
| City | ST MARYS |
| State | OH |
| Zip Code | 45885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232417 | Dimensional Wellness LLC | Counselor | 150 1/2 E. High St., Saint Marys, OH 45885 | 2020-07-13 |
| 1720633639 | Grand Lake Operations, LLC | Assisted Living Facility | 1035 Hager Street, Saint Marys, OH 45885 | 2019-08-07 |
| 1225436439 | Sharon Schnell | Pharmacist | 200 St. Clair Ave, St. Marys, OH 45885 | 2014-12-22 |
| 1851692669 | Gregory J Walter | Pharmacist | 1052 E. Spring St., St. Marys, OH 45885 | 2010-11-10 |
| 1578708053 | St Marys City Board of Education | Local Education Agency (LEA) | 2250 State Route 66, Saint Marys, OH 45885 | 2008-12-11 |
| 1104098037 | Alliance for Women's Health Inc | Obstetrics & Gynecology | 510 East Spring Street, St Marys, OH 45885 | 2008-04-01 |
| 1598869646 | Pajka Eye Center Inc | Ophthalmology | 200 St Clair, Joint Township District Memorial Hospital, St Marys, OH 45885 | 2006-09-11 |
| 1487664306 | Chalasani Md Inc. | Internal Medicine | 1300 Greenville Rd., St. Marys, OH 45885 | 2006-08-09 |
| 1821007949 | Kenneth Lance Bryant | Surgery | 1300 Greenville Rd Ste B, Saint Marys, OH 45885 | 2006-08-07 |
| 1386649457 | Jeffrey S. Chivington | Chiropractor | 575 Royal Oak Drive, St. Marys, OH 45885 | 2005-06-16 |
| Find all providers in zip 45885 | ||||
| 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 |
|---|---|---|---|---|
| 1225639917 | Resha L Mcclendon | Massage Therapist | 132 Dorchester Sq S Ste 201, Westerville, OH 43081-7400 | 2020-11-08 |
| 1528669280 | George B Mcgill IIi | Massage Therapist | 773 Elm St, Groveport, OH 43125-1242 | 2020-11-07 |
| 1114528296 | James Aaron Brooks | Massage Therapist | 806 Picket Pl, Dayton, OH 45433-1325 | 2020-11-04 |
| 1457951188 | David Michael Riemer | Massage Therapist | 455 Delta Ave Ste 307, Cincinnati, OH 45226-1127 | 2020-10-30 |
| 1801496716 | Jessica Marie Adkins | Massage Therapist | 7570 Allegheny Dr, Concord Township, OH 44060-7206 | 2020-10-29 |
| 1629677380 | Camille Mathis | Massage Therapist | 936 Bryden Rd Apt 3e, Columbus, OH 43205-1840 | 2020-10-22 |
| 1558960757 | Zach Thomas Lindner | Massage Therapist | 6790 Harrison Ave Apt 25, Cincinnati, OH 45247-3276 | 2020-10-20 |
| 1023617313 | Makayla Ammons | Massage Therapist | 3829 Potomac St, Groveport, OH 43125-9471 | 2020-10-19 |
| 1578162855 | Kelsey Coffey | Massage Therapist | 2400 Niles Cortland Rd Se Ste 5, Warren, OH 44484-3869 | 2020-10-19 |
| 1730787722 | Janet Dianne Soto | Massage Therapist | 5317 Bethel Park Dr, Columbus, OH 43235-7125 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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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.