ARCHER BODYWORKS LLC (NPI# 1295226926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295226926 |
| Entity Type | Organization |
| Organization Name | ARCHER BODYWORKS LLC |
| Practice Address |
4625 E Broadway Blvd Ste 114 Tucson AZ 85711-3575 |
| Mailing Address |
933 N Main Ave Unit 131 Tucson AZ 85705-7617 |
| Practice Telephone | 5203045330 |
| Mailing Telephone | 5203045330 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Authorized Official Name | MR. WILTON I HALL III (MANAGING MEMBER) |
| Authorized Official Telephone | 5203045330 |
| Authorized Official Credential | MT/BHT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 174400000X | Specialist | Other Service Providers | ||
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4625 E BROADWAY BLVD STE 114 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85711-3575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902343908 | Wilton Hall IIi | Counselor | 4625 E Broadway Blvd Ste 114, Tucson, AZ 85711-3575 | 2017-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356959951 | Ridgeline Practice | Counselor | 4625 N Broadway, Suite 105, Tucson, AZ 85711 | 2020-07-20 |
| 1881229946 | Famiglia Amore II LLC | Assisted Living Facility | 632 N. Wilmot, Tucson, AZ 85711 | 2020-03-10 |
| 1992343362 | Laurie Anne Mcmahon | Family Medicine | 899 N. Wilmot, Building B, Tucson, AZ 85711 | 2019-12-17 |
| 1063060093 | Sharese Ann Bailey | Counselor | 300 S Craycroft Rd, Tucson, AZ 85711 | 2019-09-03 |
| 1467940015 | Jin Zhang | Ophthalmology | 655 N Alvernon Way Ste 204, Tucson, AZ 85711 | 2018-04-30 |
| 1447779525 | Catherine Butler Hobart | Pharmacist | 535 North Wilmont Road, Suite 101, Tucson, AZ 85711 | 2017-09-11 |
| 1689196420 | Cope Community Services, Inc. | Case Management | 924 N Alvernon Way, Tucson, AZ 85711 | 2017-07-13 |
| 1124561477 | Regina Maendler | Behavioral Analyst | 630 N. Craycroft Rd, Tucson, AZ 85711 | 2016-11-18 |
| 1881140184 | Elleda Linsmeyer | Speech-Language Pathologist | St. Joesph's Hosptial, 350 N. Wilmont Rd., Tucson, AZ 85711 | 2016-08-28 |
| 1962856260 | Csl-tucson, LLC | Assisted Living Facility | 1020 N. Woodland Avenue, Tucson, AZ 85711 | 2016-04-22 |
| Find all providers in zip 85711 | ||||
| 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 |
|---|---|---|---|---|
| 1215537832 | Jonathan Taylor | Massage Therapist | 230 N Shannon Rd Apt 6, Tucson, AZ 85745-1768 | 2020-11-01 |
| 1396344099 | William Cook | Massage Therapist | 6750 E Speedway Blvd, Tucson, AZ 85710-1220 | 2020-10-22 |
| 1811506074 | Marcella Arieta | Massage Therapist | 1625 W Ina Rd Ste 103, Tucson, AZ 85704-1975 | 2020-07-23 |
| 1316580079 | Raymond Yurcik | Massage Therapist | 5405 E Pima St, Tucson, AZ 85712-3674 | 2019-10-24 |
| 1992355457 | Daniela Muster | Massage Therapist | 5675 N Oracle Rd Ste 3202, Tucson, AZ 85704-3884 | 2019-09-17 |
| 1306403506 | Stephanie M Dixon | Massage Therapist | 5431 N Oracle Rd Ste 104a, Tucson, AZ 85704-0012 | 2019-05-22 |
| 1700340890 | Michelle Renee Rodriguez-mohr | Massage Therapist | 4626 E Fort Lowell Rd Ste F, Tucson, AZ 85712-1127 | 2019-01-23 |
| 1942773668 | Jeffery Roy Small | Massage Therapist | 3607 N Vine, Tucson, AZ 85719 | 2019-01-04 |
| 1174008718 | Patricia Racina | Massage Therapist | 6700 N Oracle Rd Ste 236, Tucson, AZ 85704-7737 | 2018-09-29 |
| 1518446251 | Anastasia Padias | Massage Therapist | 4116 N 1st Ave Unit 1a, Tucson, AZ 85719-1098 | 2018-08-13 |
| Find all providers in TUCSON | ||||
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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.