MRS. LA-WAN ANTONETTE GREEN (NPI# 1396920286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396920286 |
| Entity Type | Individual |
| Full Name | MRS. LA-WAN ANTONETTE GREEN |
| Credential | LMT |
| Practice Address |
2931 E Pepperidge Dr Lancaster TX 75134-2034 |
| Practice Telephone | 9722270180 |
| Mailing Telephone | 9722270180 |
| Enumeration Date | 2008-01-09 |
| Last Update Date | 2008-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT103655 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2931 E PEPPERIDGE DR |
| City | LANCASTER |
| State | TX |
| Zip Code | 75134-2034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528553369 | Step of Faith | Community/Behavioral Health | 1413 Prescott Dr, Lancaster, TX 75134 | 2018-06-25 |
| 1376042689 | Brittainye Danielle Isaac | Physical Therapy Assistant | 2029 Woodmere Dr, Lancaster, TX 75134 | 2018-02-02 |
| 1881943991 | Ieaisha Shavette Garrett | Technician | 1406 Vermont, Lancaster, TX 75134 | 2012-09-05 |
| 1497020374 | Donna Sitting Service LLC | Point of Service | 822 Lexington Drive, Lancaster, TX 75134 | 2012-03-12 |
| 1720362718 | Monica Renea Gray | Social Worker | 2805 Yellow Rose Lane, Lancaster, TX 75134 | 2011-10-07 |
| 1629358924 | Robert Mcelroy | Pharmacist | 2962 S. Longhorn Dr., Cmop Dallas, Lancaster, TX 75134 | 2011-08-18 |
| 1568014314 | Belen Maria Castillo | Counselor | 4444 Percy St, Lancaster, TX 75134-1434 | 2019-07-11 |
| 1942508601 | Partners In Grace | Clinic/Center | 3241 Danieldale Rd, Lancaster, TX 75134-1519 | 2011-03-04 |
| 1033390604 | Wanda Davenport Odibo | Counselor | 1431 Daisy Dr, Lancaster, TX 75134-1635 | 2007-11-23 |
| 1265914105 | Larresha Lee | Licensed Practical Nurse | 3032 Crimson Clover Dr, Lancaster, TX 75134-1637 | 2018-09-06 |
| Find all providers in zip 75134 | ||||
| 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 |
|---|---|---|---|---|
| 1609408293 | Matthew Scott Schaitel | Massage Therapist | 323 South Broad Street, Lancaster, OH 43130 | 2020-02-11 |
| 1881226058 | Hollie Michelle Aneshansley | Massage Therapist | 323 South Broad St, Lancaster, OH 43130 | 2020-02-06 |
| 1306485867 | Hannah J Miller | Massage Therapist | 4300 Crossings Blvd Apt A203, Lancaster, PA 17601-2056 | 2020-01-02 |
| 1417594854 | Corinne Stockman | Massage Therapist | 1034 W Avenue L12 Ste 109, Lancaster, CA 93534-7083 | 2019-12-04 |
| 1700435112 | Julie Irene Martin | Massage Therapist | 1516 Litiz Pike, Lancaster, PA 17601-6506 | 2019-09-09 |
| 1689220345 | Eve Wile | Massage Therapist | 1205b Marshall Ave, Lancaster, PA 17601-4556 | 2019-08-16 |
| 1861958126 | Jaclyn R Lamphier | Massage Therapist | 323 S. Broad St, Lancaster, OH 43130 | 2019-02-12 |
| 1093284630 | Elizabeth Soto | Massage Therapist | 1 Upper Grn, Lancaster, PA 17602-1576 | 2018-11-13 |
| 1487120028 | Tiffany Joyce | Massage Therapist | 690 Good Dr Fl 2, Lancaster, PA 17601-2433 | 2018-10-22 |
| 1588140602 | Matthew Love | Massage Therapist | 1931 Wheatland Ave, Lancaster, PA 17603-4325 | 2018-07-11 |
| Find all providers in LANCASTER | ||||
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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.