BODY MOVEMENT ENERGY (NPI# 1407124209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407124209 |
| Entity Type | Organization |
| Organization Name | BODY MOVEMENT ENERGY |
| Practice Address |
111 S 4th St Clarksburg WV 26301-2801 |
| Practice Telephone | 3045664438 |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2011-12-07 |
| Authorized Official Name | DONETTA BOOTH WATSON (WV LICENSED MASSAGE THERAPIST) |
| Authorized Official Telephone | 3042033779 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 20112912 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
111 S 4TH ST |
| City | CLARKSBURG |
| State | WV |
| Zip Code | 26301-2801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639309487 | Diana Lynn Blackwood | Massage Therapist | 111 S 4th St, Clarksburg, WV 26301-2801 | 2009-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114539525 | Christina Burnside | Technician | 89 Green Acres, Clarksburg, WV 26301 | 2020-08-18 |
| 1447764907 | Jonathan Moore | Nurse Practitioner | 1 Medical Ctr. Drive, Clarksburg, WV 26301 | 2017-11-20 |
| 1003241936 | Jennifer Destito | Occupational Therapist | 308 E B Saunders Way, Clarksburg, WV 26301 | 2013-09-11 |
| 1215290481 | Dustin James Getz | Dentist | 200 Route 98 Medwood Plaza, Suite 302, Nutter Fort, WV 26301 | 2012-06-21 |
| 1326339987 | Debra Amos | Counselor | 200 Route 98, Nutter Fort, WV 26301 | 2011-04-29 |
| 1649572140 | Amanda Wilfong | Pharmacist | W Pike and Smith St, Clarksburg, WV 26301 | 2010-12-03 |
| 1265661060 | Jaclyn Elsey Rominger | Dentist | 2017 East Pike St, All Smiles Dental LLC, Clarksburg, WV 26301 | 2009-07-14 |
| 1588815732 | Kimberly Sue Waggy | Psychologist | 408 Eb Saunders Way, Clarksburg, WV 26301 | 2008-10-07 |
| 1659521862 | Eyemart Express, Ltd. | Durable Medical Equipment & Medical Supplies | 538 Emily Dr., Space 20, Clarksburg, WV 26301 | 2008-09-24 |
| 1477715753 | Roxanna L Rinehart | Registered Nurse | 1 Med Ctr Dr, Louis A Johnson Vamc, Clarksburg, WV 26301 | 2008-06-27 |
| Find all providers in zip 26301 | ||||
| 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 |
|---|---|---|---|---|
| 1124423264 | Dawn Heck | Massage Therapist | 807 E Pike St, Clarksburg, WV 26301-2241 | 2014-10-31 |
| 1780959387 | Courtney D Davis | Massage Therapist | 444 W Main St Ste 6, Clarksburg, WV 26301-2861 | 2012-03-14 |
| 1447408182 | Clifford Warren Fulton I | Massage Therapist | 1200 West Virginia Ave, Clarksburg, WV 26301-1953 | 2008-09-06 |
| 1871835850 | Kimberly Goff | Massage Therapist | 217 N 27th St, Clarksburg, WV 26301-2310 | 2013-03-18 |
| 1255673232 | Amanda J Nichols | Massage Therapist | 217 N 27th St, Clarksburg, WV 26301-2310 | 2013-03-18 |
| 1023344561 | Tiffany Miller | Massage Therapist | 482 Emily Dr, Clarksburg, WV 26301-5514 | 2009-10-18 |
| 1639309487 | Diana Lynn Blackwood | Massage Therapist | 111 S 4th St, Clarksburg, WV 26301-2801 | 2009-07-14 |
| 1013100254 | Geoffrey Lyn Steele | Massage Therapist | 217 N 27th St, Clarksburg, WV 26301-2310 | 2007-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215549209 | Sharon Tickle | Massage Therapist | 1987 Old Princeton Rd, Bluefield, WV 24701-8049 | 2020-08-20 |
| 1912523630 | Rachel Fronck | Massage Therapist | 1636 Rock Cliff Dr, Martinsburg, WV 25401-3274 | 2020-06-18 |
| 1326669987 | Gorgeworks Massage & Fitness, LLC | Massage Therapist | 325 Jones Avenue, Oak Hill, WV 25901-2908 | 2020-05-05 |
| 1669005674 | Dawn Fasig | Massage Therapist | 11 Commerce Dr Ste 100, Morgantown, WV 26501-3858 | 2020-02-18 |
| 1629609227 | Evelyn Garcia | Massage Therapist | 110 Congress St, Berkeley Springs, WV 25411-1510 | 2020-02-01 |
| 1609407279 | Marissa Ann Mitchell | Massage Therapist | 1991 Stadium Dr, Bluefield, WV 24701-3324 | 2020-01-31 |
| 1700417367 | Curran Adler Johnston | Massage Therapist | 1008 Winchester Ave, Martinsburg, WV 25401-1764 | 2020-01-31 |
| 1033754593 | Chrissy Runk | Massage Therapist | 340 Mount Nebo Rd, Buckhannon, WV 26201-6814 | 2019-11-08 |
| 1962045815 | Jeanette Danielle Davis | Massage Therapist | 415 1/2 D St Ste 3, South Charleston, WV 25303-3114 | 2019-10-23 |
| 1215570601 | Mark Halcombe | Massage Therapist | 1208 Trenol Rd., Milton, WV 25541 | 2019-10-18 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSBURG |
| Zip Code | 26301 |
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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.