TAMMY PACK (NPI# 1265832307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265832307 |
| Entity Type | Individual |
| Full Name | TAMMY PACK |
| Credential | LMT |
| Practice Address |
420 N Columbia Ave Rincon GA 31326-6806 |
| Mailing Address |
Po Box 2255 Rincon GA 31326-2255 |
| Practice Telephone | 9128263624 |
| Mailing Telephone | 9128263624 |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT009777 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
420 N COLUMBIA AVE |
| City | RINCON |
| State | GA |
| Zip Code | 31326-6806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740633692 | Serenity & Body Wellness LLC | Massage Therapist | 420 N Columbia Ave, Rincon, GA 31326-6806 | 2016-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437657160 | Vitality Counseling, Inc | Counselor | 135 Goshen Road Ext Ste 203, Rincon, GA 31326 | 2018-01-29 |
| 1174045322 | Katelyn Dodsworth Sundin | Dentist | 5871 Ga-21 S, Rincon, GA 31326 | 2017-07-10 |
| 1861943284 | Covenant Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 112 Goshen Commercial Park Dr., Rincon, GA 31326 | 2016-10-20 |
| 1013465681 | Aaron D. Webb | Nurse Practitioner | 423 S Columbia Avenue, Rincon, GA 31326 | 2016-09-13 |
| 1659726255 | Reagan Reese Powell | Counselor | 135 Goshen Rd Ext, Suite 203a, Rincon, GA 31326 | 2016-05-02 |
| 1982065652 | Shronda Bowman | Specialist | 1214n Columbia Ave, Unit B, Rincon, GA 31326 | 2016-03-09 |
| 1306202890 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 461 S Columbia Ave, Rincon, GA 31326 | 2016-01-13 |
| 1053628255 | Jennifer Erin Creech | Dentist | 429 S Columbia Ave, Rincon, GA 31326 | 2010-09-09 |
| 1548596737 | Rincon Medical Center | Clinic/Center | 119 Chimney Road, Rincon, GA 31326 | 2009-10-23 |
| 1770732968 | Hospital Authority of Effingham County | Clinic/Center | 110 Goshen Road, Rincon, GA 31326 | 2008-09-12 |
| Find all providers in zip 31326 | ||||
| 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 |
|---|---|---|---|---|
| 1740633692 | Serenity & Body Wellness LLC | Massage Therapist | 420 N Columbia Ave, Rincon, GA 31326-6806 | 2016-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346169 | Debra Davis | Massage Therapist | 702 Baldwin Dr Ste A, Albany, GA 31707-4027 | 2020-11-06 |
| 1780285197 | Tyrone Roy | Massage Therapist | 869 King Rd, Stone Mountain, GA 30088-2203 | 2020-11-03 |
| 1295336758 | Nadia Elizabeth Jones | Massage Therapist | 300 S Hamilton St, Dalton, GA 30720-8215 | 2020-11-02 |
| 1164022968 | Gregory R Bell Jr. | Massage Therapist | 106 W Henry St # B, Savannah, GA 31401-6721 | 2020-10-30 |
| 1770183527 | Alexander Jones | Massage Therapist | 626 Dekalb Ave Se Apt 1445, Atlanta, GA 30312-5409 | 2020-10-30 |
| 1134728124 | Quaniessa Rochelle Jenkins | Massage Therapist | 449 Oak Dr # 2, Atlanta, GA 30354-1228 | 2020-10-20 |
| 1598364630 | Amy Yang | Massage Therapist | 4505 Bradstone Trce Nw, Lilburn, GA 30047-8019 | 2020-10-20 |
| 1073112405 | Tavia Rena Bell | Massage Therapist | 2512 Grayton Loop, Villa Rica, GA 30180-6702 | 2020-10-17 |
| 1063010437 | Miranda Browne | Massage Therapist | 335 Roberts Rd, Athens, GA 30606-1227 | 2020-10-16 |
| 1710585567 | Lailyn Pineda Burkett | Massage Therapist | 3550 Ga Highway 20 South, Conyers, GA 30013-2877 | 2020-10-14 |
| 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.