KENNISHA C SIMMONS (NPI# 1275147142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275147142 |
Entity Type | Individual |
Full Name | KENNISHA C SIMMONS |
Credential | LMT |
Practice Address |
7447 S South Shore Dr Apt 31d Chicago IL 60649-3871 |
Practice Telephone | 7737805031 |
Mailing Telephone | 7737805031 |
Enumeration Date | 2020-09-08 |
Last Update Date | 2020-09-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 227005650 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
7447 S SOUTH SHORE DR APT 31D |
City | CHICAGO |
State | IL |
Zip Code | 60649-3871 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386250199 | A Safe Haven, L.L.C. | Clinic/Center | 7342-46 S Kingston, Chicago, IL 60649 | 2020-09-17 |
1477178713 | Angela K Coleman | Counselor | 1955 E 71st Street, Chicago, IL 60649 | 2020-06-12 |
1245880715 | Familydoc Urgent Care LLC | Clinic/Center | 7201 S Stony Island Ave, Chicago, IL 60649 | 2019-09-17 |
1912498668 | Venessel N/a Woodson I | Radiology | 7674 S. Southshore Dr #1n, Chicago, IL 60649 | 2018-05-29 |
1689117764 | Susana Jimenez | Occupational Therapy Assistant | 2649 E. 75th St, Chicago, IL 60649 | 2016-11-22 |
1063863579 | Regina Whittmon | Driver | 7808 S Coles Ave Apt 3, Chicago, IL 60649 | 2016-06-27 |
1174912356 | Montsho Gallardo | Doula | 7653 S Coles Ave, Chicago, IL 60649 | 2015-01-12 |
1780922120 | April Ong | Physical Therapist | 6700 S Oglesby Ave, Apt 1906, Chicago, IL 60649 | 2013-01-18 |
1114288594 | Days Adult Day Care and Personal Care Providers Inc | Clinic/Center | 2455 E 75th St, Chicago, IL 60649 | 2012-06-02 |
1891064887 | Kevin Forrest | Occupational Therapist | 2425 E. 71st Street, Chicago, IL 60649 | 2011-12-20 |
Find all providers in zip 60649 |
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 |
1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
1063028553 | Jerica N Mayo | Massage Therapist | 9430 S Loomis St # 9, Chicago, IL 60620-3615 | 2020-09-20 |
1770199622 | Anthony Richard Nichols | Massage Therapist | 4437 N Lowell Ave Unit 2, Chicago, IL 60630-4103 | 2020-09-16 |
1225643471 | Molly K Crino | Massage Therapist | 2024 S Allport St Apt 1m, Chicago, IL 60608-3870 | 2020-09-14 |
1215542642 | Leslie Morrison | Massage Therapist | 2010 S Wabash Ave Apt 3f, Chicago, IL 60616-1779 | 2020-09-11 |
1255946091 | Justin C Deschamps | Massage Therapist | 3244 W Carroll Ave # 1, Chicago, IL 60624-2030 | 2020-09-09 |
1932713930 | Leticia Medina | Massage Therapist | 2310 N Keating Ave, Chicago, IL 60639-3334 | 2020-09-07 |
Find all providers in CHICAGO |
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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.