KRISTAL WOODRUFF (NPI# 1386026201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386026201 |
| Entity Type | Individual |
| Full Name | KRISTAL WOODRUFF |
| Credential | B.S., LMT |
| Practice Address |
406 Galleria Dr Oxford MS 38655-5462 |
| Mailing Address |
133 County Road 143 Oxford MS 38655-8663 |
| Practice Telephone | 6154749261 |
| Mailing Telephone | 6154749261 |
| Enumeration Date | 2015-06-27 |
| Last Update Date | 2015-11-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2333 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
406 GALLERIA DR |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-5462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| 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 |
|---|---|---|---|---|
| 1578176483 | Jae Choi | Massage Therapist | 490 Lakes Edge Dr, Oxford, MI 48371-5225 | 2020-08-29 |
| 1366060592 | Amanda Kay Rawson | Massage Therapist | 407 E Bright St, Oxford, NE 68967-7802 | 2020-07-14 |
| 1538795505 | Amy Lynn Bezy | Massage Therapist | 525 Pontiac St Apt 21, Oxford, MI 48371-4800 | 2020-03-20 |
| 1578103735 | Sandra Suggs | Massage Therapist | 2621 W Oxford Loop Ste C, Oxford, MS 38655-5442 | 2020-01-15 |
| 1699326298 | Optimum Performance Therapeutic Massage & Bodywork LLC | Massage Therapist | 13 White Gate Rd, Oxford, CT 06478-1502 | 2019-09-25 |
| 1215246483 | Canice Paliotta | Massage Therapist | 3731 State Highway 12, Oxford, NY 13830-3304 | 2010-10-05 |
| 1245438621 | Gail Marie Brown | Massage Therapist | 1467 County Road 245a, Oxford, FL 34484-2511 | 2007-07-06 |
| 1770652315 | Patricia A. Douglas | Massage Therapist | 1225 Snow St, Suite 17, Oxford, AL 36203-1987 | 2006-11-07 |
| 1336789585 | Shireen Mullink | Massage Therapist | 2621 W Oxford Loop Ste C, Oxford, MS 38655-5442 | 2020-01-15 |
| 1043678378 | Eugenia Shaye Wingo | Massage Therapist | 817 Snow St, Oxford, AL 36203-1211 | 2016-02-01 |
| Find all providers in OXFORD | ||||
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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.