MS. BRENDA KANICKI BALDUCCI (NPI# 1306965256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306965256 |
| Entity Type | Individual |
| Full Name | MS. BRENDA KANICKI BALDUCCI |
| Credential | LMT |
| Practice Address |
36633 Sundance Dr Grand Island FL 32735-9119 |
| Practice Telephone | 3529781982 |
| Mailing Telephone | 3529781982 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA48671 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
36633 SUNDANCE DR |
| City | GRAND ISLAND |
| State | FL |
| Zip Code | 32735-9119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740712512 | Cheerly Dela Cruz Clifton | Speech-Language Pathologist | 36743 Tropical Wind Lanne, Grand Island, FL 32735 | 2017-03-31 |
| 1396257218 | A Brighter Day 365, L.L.C. | Home Health | 2742 Limerick Cir, Grand Island, FL 32735 | 2017-11-01 |
| 1194938597 | Doreen M Fahey | Dentist | 2295 S. Hiawassee Rd, Orlando, FL 32735 | 2007-05-08 |
| 1003949231 | Michelle Ann Harrison | Occupational Therapy Assistant | 13511 Biscayne Dr, Grand Island, FL 32735-8926 | 2007-03-14 |
| 1326402819 | Kevin Roberts | Nurse Practitioner | 36800 Queen Bee Ln, Grand Island, FL 32735-8950 | 2016-04-11 |
| 1265785687 | Angela Masoline Thomas | Case Manager/Care Coordinator | 13633 Sand Bluff Ln, Grand Island, FL 32735-8951 | 2012-10-23 |
| 1457863367 | Brittany Marie Jones | Student in an Organized Health Care Education/Training Program | 2742 Limerick Cir, Grand Island, FL 32735-9009 | 2017-11-01 |
| 1780104034 | Creation Care Services Inc | Clinic/Center | 3292 Plumlee Ct, Grand Island, FL 32735-9013 | 2017-06-27 |
| 1063932317 | Patricia Mckenzie | Clinic/Center | 3292 Plumlee Ct, Grand Island, FL 32735-9013 | 2017-06-27 |
| 1013521541 | Jean Moise Voltaire | Nurse Practitioner | 3191 Spicer Ave, Grand Island, FL 32735-9015 | 2020-09-02 |
| Find all providers in zip 32735 | ||||
| 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 |
|---|---|---|---|---|
| 1851935340 | Anne Danhauer | Massage Therapist | 935 S Locust St, Grand Island, NE 68801-6751 | 2019-10-29 |
| 1922580380 | Ali Renee Meister | Massage Therapist | 114 W 3rd Street, Grand Island, NE 68801 | 2018-09-03 |
| 1073923991 | Maria Casey | Massage Therapist | 176 Regency Dr, Grand Island, NY 14072-1453 | 2014-04-30 |
| 1194357673 | Emily Wooster | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2020-02-12 |
| 1467096503 | Amanda Kinney | Massage Therapist | 2237 N Webb Rd, Grand Island, NE 68803-1740 | 2019-11-01 |
| 1841850146 | Meister Massage | Massage Therapist | 114 W 3rd St, Grand Island, NE 68801-5914 | 2019-06-18 |
| 1457810004 | Holly House | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2019-03-13 |
| 1285104158 | Kalista Nizialik | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2018-12-04 |
| 1598248833 | Anne Kamholz | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2018-09-12 |
| 1699223180 | Danielle Burson | Massage Therapist | 2283 Grand Island Blvd, Grand Island, NY 14072-1819 | 2016-09-14 |
| Find all providers in GRAND ISLAND | ||||
| City | GRAND ISLAND |
| Zip Code | 32735 |
Please comment or provide details below to improve the information on MS. BRENDA KANICKI BALDUCCI.
| 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.