MR. MICHAEL ALLEN BLAKLEY (NPI# 1184936775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184936775 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ALLEN BLAKLEY |
| Credential | LMT |
| Practice Address |
2550 Windy Hill Rd Se 215 Marietta GA 30067-8665 |
| Practice Telephone | 7708508464 |
| Mailing Telephone | 7708508464 |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2010-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT000455 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184607038 | Michael C Blakley Jr. | Internal Medicine | 705 Riley Hospital Dr, Rr 307, Indianapolis, IN 46202-5109 | 2005-11-23 |
| Street Address |
2550 WINDY HILL RD SE 215 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-8665 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619971686 | Deborah M. Burton | Specialist | 2550 Windy Hill Rd Se, Ste 307, Marietta, GA 30067-8665 | 2005-06-08 |
| 1609202720 | Mak Anesthesia Nw LLC | Anesthesiology | 2550 Windy Hill Rd Se, Suite 218, Marietta, GA 30067-8665 | 2013-09-20 |
| 1477813954 | Monica Trechele Mcgowan | Nurse Practitioner | 2550 Windy Hill Rd Se, Suite 215, Marietta, GA 30067-8665 | 2012-05-18 |
| 1457638652 | Arthur H. Mann | Physical Therapist | 2550 Windy Hill Rd Se, Suite 317, Marietta, GA 30067-8665 | 2011-11-16 |
| 1952606907 | Georgia Pain Physicians, PC | Pharmacist | 2550 Windy Hill Rd Se, Suite 215, Marietta, GA 30067-8665 | 2011-01-24 |
| 1467773812 | John Kevin Bires | Massage Therapist | 2550 Windy Hill Rd Se, Suite 215, Marietta, GA 30067-8665 | 2010-06-21 |
| 1255655403 | Juan He | Physician Assistant | 2550 Windy Hill Rd Se, Suite 215, Marietta, GA 30067-8665 | 2010-03-17 |
| 1316277338 | Aisha Jenelle Mcknight Baron | Plastic Surgery | 2550 Windy Hill Rd Se, Suite # 312, Marietta, GA 30067-8665 | 2010-01-14 |
| 1346474905 | Gregory Alan Taylor | Chiropractor | 2550 Windy Hill Rd Se, 215, Marietta, GA 30067-8665 | 2009-05-12 |
| 1134366172 | Georgia Anesthesia Providers LLC | Nurse Anesthetist, Certified Registered | 2550 Windy Hill Rd Se, Suite 215, Marietta, GA 30067-8665 | 2009-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| 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 |
|---|---|---|---|---|
| 1437764313 | Alan Atogamis De Souza | Massage Therapist | 2359 Windy Hill Rd Se Ste 320, Marietta, GA 30067-8660 | 2020-09-09 |
| 1578175055 | Lucretia Benee Vinson | Massage Therapist | 2575 Whitehaven Dr Sw Ste 121, Marietta, GA 30064-4569 | 2020-08-17 |
| 1740800192 | Patricia Taylor | Massage Therapist | 2123 Favor Rd Sw Apt 8, Marietta, GA 30060-4769 | 2020-04-24 |
| 1154955631 | Carlene Croney | Massage Therapist | 3002 Kingston Ct Se, Marietta, GA 30067-8957 | 2020-02-24 |
| 1811529225 | Octavia Elayne Mckenney | Massage Therapist | 3577 Main Station Dr Sw, Marietta, GA 30008-6054 | 2020-02-04 |
| 1861030694 | Linda Nordahl | Massage Therapist | 145 Church St Ne Ste 103, Marietta, GA 30060-1691 | 2019-12-11 |
| 1376197764 | Tracey E Moody | Massage Therapist | 1838 Blackwater Dr, Marietta, GA 30066-6712 | 2019-07-24 |
| 1558839126 | April Denise Mills | Massage Therapist | 4875 Olde Towne Pkwy Ste 50, Marietta, GA 30068-5632 | 2018-11-12 |
| 1497264527 | Lakisha Gaines | Massage Therapist | 349 Alexander Cir Se, Marietta, GA 30060-2238 | 2017-09-20 |
| 1700317724 | Bria Dailey | Massage Therapist | 4645 Kempton Pl Ne, Marietta, GA 30067-3642 | 2017-03-22 |
| Find all providers in MARIETTA | ||||
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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.