CARL BRUCKNER (NPI# 1144617036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144617036 |
| Entity Type | Individual |
| Full Name | CARL BRUCKNER |
| Credential | LMT |
| Practice Address |
109 Thrush Dr Roswell GA 30075-1141 |
| Practice Telephone | 4087310592 |
| Mailing Telephone | 4087310592 |
| Enumeration Date | 2015-04-19 |
| Last Update Date | 2015-04-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT 010291 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
109 THRUSH DR |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| Find all providers in zip 30075 | ||||
| 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 |
|---|---|---|---|---|
| 1679188510 | Ralonda Tooles | Massage Therapist | 1010 Oakhaven Dr, Roswell, GA 30075-1234 | 2020-09-08 |
| 1891269569 | Ayesha Nesbeth-aguila | Massage Therapist | 425 E Crossville Rd Ste E-111, Roswell, GA 30075-5817 | 2019-01-16 |
| 1801384417 | Cristiane Lima De Paula | Massage Therapist | 706 Harbor Lndg, Roswell, GA 30076-3115 | 2018-04-30 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| 1114203445 | Joshua N Patton | Massage Therapist | 706 W 2nd St, Roswell, NM 88201-3002 | 2011-11-01 |
| 1437430907 | Bonnie Kay Wilson | Massage Therapist | 321 Rosemont Ct, Roswell, GA 30076-3832 | 2011-08-29 |
| 1932489341 | Moises S. Rodriguez Jr. | Massage Therapist | 310 N Richardson Ave, Roswell, NM 88201-4639 | 2011-08-17 |
| 1568690311 | Chill Out, LLC | Massage Therapist | 11205 Alpharetta Hwy Ste G2, Roswell, GA 30076-5647 | 2009-06-30 |
| 1114167095 | Sharyn Jeanne Mcclung | Massage Therapist | 801 Bombay Ln, Roswell, GA 30076-5819 | 2009-03-04 |
| 1588809107 | Ivey Neuromuscular LLC | Massage Therapist | 425 E Crossville Rd, Suite E111, Roswell, GA 30075-5817 | 2008-12-10 |
| Find all providers in ROSWELL | ||||
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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.