MAE ROSE CORLEY (NPI# 1285192468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285192468 |
| Entity Type | Individual |
| Full Name | MAE ROSE CORLEY |
| Practice Address |
841 Blossom Hill Rd Ste 108 San Jose CA 95123-2704 |
| Mailing Address |
6822 Moselle Dr San Jose CA 95119-1846 |
| Practice Telephone | 4084758876 |
| Mailing Telephone | 6692340898 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
841 BLOSSOM HILL RD STE 108 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95123-2704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700441045 | Calvin Patrick Nell | Chiropractor | 5570 Sanchez Drive, Ste 100, San Jose, CA 95123 | 2019-05-02 |
| 1629557152 | Jia Tian | Dentist | 393 Blossom Hill Rd Ste 150, San Jose, CA 95123 | 2018-08-06 |
| 1003306176 | Western Dental Services, Inc. | Dentist | 451 Blossom Hill Rd Suite 20, San Jose, CA 95123 | 2018-05-15 |
| 1871004945 | Luxottica of America Inc | Eyewear Supplier (Equipment, not the service) | 5411 Thornwood Dr, San Jose, CA 95123 | 2017-10-17 |
| 1437672953 | Mie Mie Chiu | Dietitian, Registered | 276 Palm Valley Blvd #205, San Jose, CA 95123 | 2017-07-18 |
| 1902335300 | Alfredo Fernandez | Counselor | 5898 Paddon Circle, San Jose, CA 95123 | 2017-06-08 |
| 1780115444 | Christopher Vi Tran | Case Manager/Care Coordinator | 5579 Lean Avenue, San Jose, CA 95123 | 2017-03-24 |
| 1205370004 | Linxi Wu | Acupuncturist | 6064 Cahalan Ave, San Jose, CA 95123 | 2016-12-13 |
| 1013307651 | Kevin Dizon | Dental Hygienist | 6071 Sunstone Drive, San Jose, CA 95123 | 2015-02-04 |
| 1285031294 | Katie Tran | Dental Assistant | 524 Glenburry Way, San Jose, CA 95123 | 2014-11-20 |
| Find all providers in zip 95123 | ||||
| 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 |
|---|---|---|---|---|
| 1770181521 | Ebonique Zanale Wilson | Massage Therapist | 380 Vista Roma Way Unit 316, San Jose, CA 95136-4421 | 2020-10-14 |
| 1225635162 | Veronica Isabel Foggie | Massage Therapist | 3570 Ct, San Jose, CA 95127 | 2020-10-05 |
| 1659988897 | Francis Beaudry | Massage Therapist | 1374 Piland Dr, San Jose, CA 95130-1339 | 2020-09-30 |
| 1972118586 | Niane Oliveira Ribeiro De Sa | Massage Therapist | 1174 Lincoln Ave Ste 5, San Jose, CA 95125-3029 | 2020-09-10 |
| 1164061412 | Castrell Neuromuscular Therapy | Massage Therapist | 3880 S Bascom Ave Ste 108, San Jose, CA 95124-2600 | 2020-01-04 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1457889958 | Chris Shelton | Massage Therapist | 1314 Lincoln Ave Ste 2b, San Jose, CA 95125-3012 | 2017-05-27 |
| 1477098572 | Richard C Rhodes | Massage Therapist | 2618 Hill Park Dr, San Jose, CA 95124-1734 | 2016-12-27 |
| 1114398658 | Myung Sook Lee | Massage Therapist | 765 Modern Ice Dr, San Jose, CA 95112-4857 | 2015-10-09 |
| 1043616493 | Douglas Olson | Massage Therapist | 1082 Almaden Village Ln, San Jose, CA 95120-3365 | 2014-11-12 |
| Find all providers in SAN JOSE | ||||
Please comment or provide details below to improve the information on MAE ROSE CORLEY.
| 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.