MR. JEFFREY ALLEN SOULLIERE (NPI# 1376082263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376082263 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY ALLEN SOULLIERE |
| Credential | L.M.T. |
| Practice Address |
420 2nd Street Cordova AK 99574-0726 |
| Mailing Address |
Po Box 1066 Cordova AK 99574-1066 |
| Practice Telephone | 2085150385 |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 115600 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619460623 | Jeffrey Edmund Soulliere | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2018-06-13 |
| Street Address |
420 2ND STREET |
| City | CORDOVA |
| State | AK |
| Zip Code | 99574-0726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355390 | Delia M. Reyes | Nurse Practitioner | 705 2nd St., Cordova, AK 99574 | 2020-10-29 |
| 1497376750 | Myaliesa Bingham | Massage Therapist | 622 1st St #201, Cordova, AK 99574 | 2020-04-28 |
| 1154951408 | Richard Donald Bingham | Chiropractor | 622 1st Street, 201, Cordova, AK 99574 | 2020-01-24 |
| 1497230353 | Acupuncture & Wellness of Cordova | Acupuncturist | 520 2nd Street, Cordova, AK 99574 | 2018-09-26 |
| 1659869295 | Joan Catherine Herschleb | Acupuncturist | 520 Second Street, Cordova, AK 99574 | 2018-04-30 |
| 1134534712 | Brian Iutzi | Family Medicine | Ilanka Clinic, 705 2nd Street, Cordova, AK 99574 | 2014-06-23 |
| 1356776165 | Susan E.c. Powell | Counselor | 705 Second Street, Cordova, AK 99574 | 2013-09-11 |
| 1962679878 | City of Cordova | Ambulance | 602 Railroad Ave, Cordova, AK 99574 | 2008-05-09 |
| 1568649374 | Laurie A Phillips | Case Manager/Care Coordinator | 602 Chase, Cordova, AK 99574 | 2008-01-23 |
| 1578749412 | Kris Susan Johnston | Case Manager/Care Coordinator | 602 Chase Ave., Cordova, AK 99574 | 2008-01-10 |
| Find all providers in zip 99574 | ||||
| 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 |
|---|---|---|---|---|
| 1992322234 | Erica Michelle Butler | Massage Therapist | 1600 Bonnie Ln Ste 106, Cordova, TN 38016-0510 | 2020-07-02 |
| 1497376750 | Myaliesa Bingham | Massage Therapist | 622 1st St #201, Cordova, AK 99574 | 2020-04-28 |
| 1144841487 | Northstar Alignment LLC | Massage Therapist | 622 1st Street, #201, Cordova, AK 99574 | 2020-04-28 |
| 1790248607 | Shannon Lindow | Massage Therapist | 520 2nd St, Cordova, AK 99574 | 2019-04-08 |
| 1295010502 | Rochelle Renee Richardson | Massage Therapist | 1175 Vickery Ln, Cordova, TN 38016-0682 | 2011-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020772 | Miladis Mcduffie | Massage Therapist | 1350 W. Northern Lights Blvd, Ste C, Anchorage, AK 99503 | 2020-10-15 |
| 1124634233 | Mackena Elsie Johnson | Massage Therapist | Sports & Spinal Injury Clinic, 6634 Lake Otis Pkwy #a, Anchorage, AK 99507 | 2020-09-23 |
| 1346853322 | Phillip Zimmerly | Massage Therapist | 2120 E 73rd Ave Apt 1, Anchorage, AK 99507-2790 | 2020-08-28 |
| 1790397461 | Hannah S Ross | Massage Therapist | 776 Bullion Dr, Fairbanks, AK 99712-2035 | 2020-08-23 |
| 1639780596 | Sports Injury Chiropractic | Massage Therapist | 8867 Eagle Place Loop, Eagle River, AK 99577-8844 | 2020-08-13 |
| 1104435650 | Maranatha Jubilee | Massage Therapist | 645 N Jessica Brooke Cir Ste D, Wasilla, AK 99654-7333 | 2020-07-29 |
| 1952910861 | Katherine J Nelson | Massage Therapist | 1325 State Street, Skagway, AK 99840 | 2020-07-27 |
| 1366051203 | Chrystle Williefay White | Massage Therapist | 12900 W Creek Frontage Rd, Big Lake, AK 99623-4880 | 2020-07-27 |
| 1295344513 | Caroleen Theresa Monnseratt | Massage Therapist | 6511 E 8th Ave Apt 2, Anchorage, AK 99504-1779 | 2020-07-23 |
| 1174131726 | Chantel Mcvee | Massage Therapist | 1601 Baylor Way, Anchorage, AK 99508-4403 | 2020-07-20 |
| 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.