MR. KENNETH BRADLEY LENZ (NPI# 1376865014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376865014 |
Entity Type | Individual |
Full Name | MR. KENNETH BRADLEY LENZ |
Credential | L.M.T., B.S. |
Practice Address |
190 Wonx Spring Rd Plantsville CT 06479-1444 |
Mailing Address |
783 Orange Center Rd. Orange CT 06477 |
Practice Telephone | 2039369525 |
Mailing Telephone | 2039369525 |
Enumeration Date | 2010-02-23 |
Last Update Date | 2010-02-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 005787 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
190 WONX SPRING RD |
City | PLANTSVILLE |
State | CT |
Zip Code | 06479-1444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124586839 | Ashley Dacosta | Social Worker | 1460 Meriden-waterbury Turnpike, Plantsville, CT 06479 | 2019-03-12 |
1598263881 | Cassandra Marcheggiani, LLC | Social Worker | 710 Main Street Bldg 2, Ste. 5, Plantsville, CT 06479 | 2018-02-01 |
1225446883 | Haley R Baumgarten | Music Therapist | 1678 Meriden-waterbury Turnpike, Southington, CT 06479 | 2014-07-28 |
1134550023 | Melanie Ann Edman | Social Worker | 29 Charles Street, Plantsville, CT 06479 | 2013-12-03 |
1447524228 | Joseph Anthony Picone Sr. | Dentist | 954 S. Main St., Plantsville, CT 06479 | 2012-02-27 |
1760784250 | Jsl Connections, LLC | Counselor | 16 Cornerstone Court, Suite 5, Plantsville, CT 06479 | 2010-12-03 |
1710125026 | Paul Poutouves | Physical Therapist | 149 Jubilee Dr, Plantsville, CT 06479 | 2009-01-23 |
1871709725 | Essential Dental, LLC | Dentist | 1090 Meriden Waterbury Tpke, Suite 2, Plantsville, CT 06479 | 2007-05-15 |
1568680528 | Alkesh V Patel Md LLC | Pediatrics | 710 Main Street Bldg 1, Plantsville, CT 06479 | 2007-04-23 |
1083754964 | Neil D Salesky | Dentist | 15 3a Cornerstone Ct, Plantsville, CT 06479 | 2007-02-08 |
Find all providers in zip 06479 |
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 |
---|---|---|---|---|
1376192088 | Jeffrey Payne | Massage Therapist | 1783 Meriden Waterbury Turnpike, #9, Plantsville, CT 06479 | 2019-09-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851991848 | Jillian Alexandra Marchenko | Massage Therapist | 43 Beachland Ave, Milford, CT 06460-7409 | 2020-10-28 |
1528667417 | Tracy L Rosiene | Massage Therapist | 211 Route 164, Preston, CT 06365-8726 | 2020-10-21 |
1033718036 | Vanessa Gutierrez-santana | Massage Therapist | 31 Middle Ave, Shelton, CT 06484-3949 | 2020-10-21 |
1942807268 | Kristine Marie Loomis | Massage Therapist | 41 Crestview Dr, Watertown, CT 06795-1814 | 2020-10-09 |
1780291963 | Cheryl C Jones | Massage Therapist | 15 Sylvia Ln, Norwich, CT 06360-2147 | 2020-09-30 |
1770190027 | Gladys Vargas | Massage Therapist | 44 S Main St Ste 16, East Windsor, CT 06088-1702 | 2020-09-29 |
1174130710 | Satomi Tanaka-munroe | Massage Therapist | 265 Dale Rd, Wethersfield, CT 06109-3250 | 2020-09-28 |
1831706464 | Ibsen Oviedo | Massage Therapist | 41 Lovatt St, Norwalk, CT 06851-4127 | 2020-09-28 |
1457968075 | Khalaf Jerry | Massage Therapist | 180 N Taylor Ave, Norwalk, CT 06854-1118 | 2020-09-28 |
1740897446 | Jennifer Dolan | Massage Therapist | 28 Tahmore Pl, Shelton, CT 06484-1740 | 2020-09-26 |
Find all providers with the same taxonomy |
City | PLANTSVILLE |
Zip Code | 06479 |
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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.