KIM SUZANNE REDDY (NPI# 1225438203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225438203 |
| Entity Type | Individual |
| Full Name | KIM SUZANNE REDDY |
| Credential | LMT |
| Practice Address |
106 Live Oak St Ste B Venice FL 34285-4701 |
| Practice Telephone | 9416001591 |
| Mailing Telephone | 9416001591 |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2014-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA68069 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
106 LIVE OAK ST STE B |
| City | VENICE |
| State | FL |
| Zip Code | 34285-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| 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 |
|---|---|---|---|---|
| 1659978617 | Karyn Brittman | Massage Therapist | 1404 Elkgrove Cir Apt 4, Venice, CA 90291-3115 | 2020-10-02 |
| 1922367655 | Jody A Phillips | Massage Therapist | 1901 Tamiami Trl S Ste B, Venice, FL 34293-5002 | 2012-05-15 |
| 1316217235 | Nicole L Evans | Massage Therapist | 258 Tamiami Trl S, Venice, FL 34285-2440 | 2012-01-09 |
| 1548555790 | Jolanta Nikiel Dul | Massage Therapist | 245 Tamiami Trl S, Venice, FL 34285-2420 | 2011-06-16 |
| 1912210436 | Angie Marie Mages | Massage Therapist | 209 Harbor Dr S, Venice, FL 34285-2216 | 2010-07-26 |
| 1255507414 | Cheryl J. Debitetto | Massage Therapist | 730 The Rialto, Venice, FL 34285-3524 | 2008-05-07 |
| 1982877130 | Francine Milford | Massage Therapist | 101 W Venice Ave, Suite 31-7, Venice, FL 34285-1902 | 2008-04-09 |
| 1558569327 | Jacqueline Resto Alpaugh | Massage Therapist | 1901 S Tamiami Trail, Suite F-g, Venice, FL 34293 | 2007-07-03 |
| 1760607345 | Lou Anne Perry | Massage Therapist | 102 Hanchey Blvd, Venice, FL 34292-1712 | 2007-04-17 |
| 1437247251 | Peter A Ford | Massage Therapist | 2203 Tamiami Trail South, Venice, FL 34293 | 2006-10-10 |
| Find all providers in VENICE | ||||
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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.