MR. TERRY LEE CRADDOCK (NPI# 1164605549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164605549 |
| Entity Type | Individual |
| Full Name | MR. TERRY LEE CRADDOCK |
| Credential | L.M.T, L.P.N. |
| Practice Address |
120 S Main St Farmer City IL 61842-1454 |
| Practice Telephone | 3098244373 |
| Mailing Telephone | 3098244373 |
| Enumeration Date | 2007-12-09 |
| Last Update Date | 2008-01-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
120 S MAIN ST |
| City | FARMER CITY |
| State | IL |
| Zip Code | 61842-1454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548436488 | Mimi Marks | Contractor | 120 S Main St, Farmer City, IL 61842-1454 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417088477 | Farmer City Chiropractic Office P.C. | Chiropractor | 2564 E. Hwy 54 West, Farmer City, IL 61842 | 2007-03-08 |
| 1790822344 | Aaron G. Skinner | Chiropractor | 2564e Hwy 54 West, Farmer City, IL 61842-0026 | 2007-01-31 |
| 1235350273 | Blue Ridge Cusd #18 | Local Education Agency (LEA) | 411 N John St, Farmer City, IL 61842-1159 | 2007-05-01 |
| 1457695371 | Bobbi S Kennedy | Social Worker | 515 W Indiana St, Farmer City, IL 61842-1384 | 2012-11-15 |
| 1164964144 | Patricia J Spurlock | Chiropractor | 1401 W Clinton Ave, Farmer City, IL 61842-1392 | 2016-11-08 |
| 1275674640 | Farmer City Ambulance Srvc Inc | Ambulance | 105 S Main Street, Farmer City, IL 61842-1453 | 2007-02-09 |
| 1295763043 | George Ernshaw Castrovillo | Family Medicine | 109 S Main St, Farmer City, IL 61842-1453 | 2006-06-29 |
| 1265897409 | Hac 4 LLC | Pharmacy | 217 S Main St, Farmer City, IL 61842-1455 | 2015-12-15 |
| 1215211545 | Arrow Ambulance, LLC | Ambulance | 216 E Water St, Farmer City, IL 61842-1553 | 2011-10-05 |
| 1912227018 | Laurie A Johnston | Occupational Therapy Assistant | 116 N James St, Farmer City, IL 61842-1571 | 2010-06-11 |
| Find all providers in zip 61842 | ||||
| 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 |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1497354104 | Lola Sanders | Massage Therapist | 844 Wilshire Dr, Belleville, IL 62223-2623 | 2020-10-22 |
| 1003415001 | Amanda L Klimczak | Massage Therapist | 1231 Ridgeland Ave, Berwyn, IL 60402-1142 | 2020-10-21 |
| 1093314148 | Jody Lee Hazel | Massage Therapist | 1750 E Colborn Camp Ln, Noble, IL 62868-2348 | 2020-10-20 |
| 1194323352 | Vanina Barnett | Massage Therapist | 112 Sussex Cir, Schaumburg, IL 60193-1835 | 2020-10-10 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1407463029 | Danielle Wright | Massage Therapist | 132 S Water St Ste 430, Decatur, IL 62523-2305 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1780291872 | Jennifer Marshall | Massage Therapist | 6920 W 110th St, Worth, IL 60482-1425 | 2020-09-23 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | FARMER CITY |
| Zip Code | 61842 |
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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.