ELIZABETH DIEBOLD (NPI# 1285069815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285069815 |
| Entity Type | Individual |
| Full Name | ELIZABETH DIEBOLD |
| Credential | LMT |
| Practice Address |
1177 S Duchesne Dr Saint Charles MO 63301-4837 |
| Mailing Address |
480 Fortress Ct Saint Charles MO 63303-3892 |
| Practice Telephone | 3144204989 |
| Mailing Telephone | 3144204989 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2010039902 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1177 S DUCHESNE DR |
| City | SAINT CHARLES |
| State | MO |
| Zip Code | 63301-4837 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376189910 | Kelsey Fix | Occupational Therapist | 3228 Silvertrail Dr, Saint Charles, MO 63301 | 2019-11-19 |
| 1063056307 | Compass Health, Inc. | Clinic/Center | 3075 New Town Blvd, Saint Charles, MO 63301 | 2019-10-30 |
| 1558921361 | Next Steps Therapy & Coaching, LLC | Clinic/Center | 1040 Fairgrounds Road, St. Charles, MO 63301 | 2019-06-14 |
| 1093297426 | Delia Smith | Specialist/Technologist | 209 S Kingshighway, St. Charles, MO 63301 | 2018-09-01 |
| 1285136754 | Helping Hand Home Healthcare, LLC | Home Health | 1360 S 5th Street, Suite 278, Saint Charles, MO 63301 | 2018-03-01 |
| 1972043107 | Robert Christopher Loynd | Otolaryngology | 301 N. 2nd Street, St. Charles, MO 63301 | 2017-03-07 |
| 1457807067 | Angela Thro | Occupational Therapist | 3489 Boschertown Road, Saint Charles, MO 63301 | 2016-09-01 |
| 1487060570 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2100 1st Capitol Dr, St. Charles, MO 63301 | 2014-07-09 |
| 1114337102 | Nucrown,inc. | Optometrist | 1910 First Capital Drive, St. Charles, MO 63301 | 2014-04-30 |
| 1780922476 | Kristen James | Counselor | 120 1st Capitol Dr Ste 5, Saint Charles, MO 63301 | 2013-01-30 |
| Find all providers in zip 63301 | ||||
| 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 |
|---|---|---|---|---|
| 1225424732 | Mary Roberts | Massage Therapist | 2310 Hwy 94 S Outer Rd, Saint Charles, MO 63303-8301 | 2015-04-10 |
| 1366720799 | Ralph Clark | Massage Therapist | 7300 Fox Chase Dr, Saint Charles, MO 63301-8360 | 2011-08-02 |
| 1235423146 | Jennifer Stanley | Massage Therapist | 210 S 5th St Ste 202, Saint Charles, IL 60174-2700 | 2011-06-08 |
| 1457888117 | Marlon Williams | Massage Therapist | 1362 S 5th St, Saint Charles, MO 63301-2444 | 2017-05-12 |
| 1730453754 | Karen Crowe Payne | Massage Therapist | 2261 Bluestone Dr, Saint Charles, MO 63303-6705 | 2012-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982211 | Evan Coonrod | Massage Therapist | 239 Steamboat Ln, Ballwin, MO 63011-3203 | 2020-11-02 |
| 1215537915 | Joseph Terry | Massage Therapist | 391 Chalmette Dr, Hazelwood, MO 63042-3532 | 2020-10-30 |
| 1043819642 | Ashley Chanele Ball | Massage Therapist | 959 W 42nd St Apt 201, Kansas City, MO 64111-4058 | 2020-10-23 |
| 1619576303 | Robert Wayne Fuller Jr. | Massage Therapist | 7211 Nw 83rd St Ste 207d, Kansas City, MO 64152-6022 | 2020-10-22 |
| 1346848991 | James Allen Brooks | Massage Therapist | 6436 Chippewa St, Saint Louis, MO 63109-2106 | 2020-10-15 |
| 1265030845 | Rhonda Kay Newton | Massage Therapist | 22768 Mo-39 Suite B, Aurora, MO 65605 | 2020-10-15 |
| 1841898798 | Justin Eric Mcmiller | Massage Therapist | 1255 Swallow Ln, Florissant, MO 63031-3326 | 2020-10-13 |
| 1982201471 | Kendra Wright | Massage Therapist | 115 W 99th Ter Apt 206, Kansas City, MO 64114-4330 | 2020-10-07 |
| 1447857651 | Sara E Sobery | Massage Therapist | 5 Carpenter Dr, Saint Peters, MO 63376-1925 | 2020-10-01 |
| 1801403167 | Kevin Phillip Cude | Massage Therapist | 35 Oxbow Rd, Saint Peters, MO 63376-1556 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
| City | SAINT CHARLES |
| Zip Code | 63301 |
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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.