MICHELLE PAULETTE CRUICKSHANK (NPI# 1356639074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356639074 |
| Entity Type | Individual |
| Full Name | MICHELLE PAULETTE CRUICKSHANK |
| Credential | MT |
| Practice Address |
6522 Sterling Ave Raytown MO 64133 |
| Mailing Address |
6522 Sterling Ave Raytown MO 64133-5449 |
| Practice Telephone | 8168539021 |
| Mailing Telephone | 8168539021 |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2011-07-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2005024176 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6522 STERLING AVE |
| City | RAYTOWN |
| State | MO |
| Zip Code | 64133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376029652 | Lauren Chapman Bauer | Occupational Therapy Assistant | 9540 E 75th Street, Raytown, MO 64133 | 2018-07-19 |
| 1871946160 | Brent Jordan Miller | Nurse Practitioner | 9400 East 350 Highway, Raytown, MO 64133 | 2016-07-21 |
| 1518355957 | Sheeba Fazili | Counselor | 8801 East, 63 Rd Street, Raytown, Suite 101, Missouri, KS 64133 | 2015-01-08 |
| 1770998676 | Diana Garcia | Speech-Language Pathologist | 11812 E. 61st. Street, Kansas City, MO 64133 | 2014-06-30 |
| 1326489642 | Helping Hands Adult Day Center | Clinic/Center | 6610 Blue Ridge Blvd., Kansas City, MO 64133 | 2013-07-15 |
| 1346687936 | Judith Hope Evans | Pharmacist | 300 Blue Parkway, Lees Summit, MO 64133 | 2013-05-23 |
| 1912249855 | Shanna O'brien | Social Worker | 8801 E 63rd St Ste 101, Raytown, MO 64133 | 2013-03-18 |
| 1013266550 | Lauren Sword | Chiropractor | 9537 E 57th Terr, Raytown, MO 64133 | 2012-08-30 |
| 1528339207 | Olivia Luelf | Speech-Language Pathologist | 6608 Raytown Rd., Raytown, MO 64133 | 2012-01-26 |
| 1265742845 | Gaela Anne Fisher | Licensed Practical Nurse | 13201 E. 53rd Street, Kansas City, MO 64133 | 2010-10-15 |
| Find all providers in zip 64133 | ||||
| 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 |
|---|---|---|---|---|
| 1720606304 | Heather Danielle Long | Massage Therapist | 7312 Raytown Rd Ste F, Raytown, MO 64133-6650 | 2020-07-09 |
| 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 | ||||
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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.