DETWANETTE WOODERT (NPI# 1437602471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437602471 |
| Entity Type | Individual |
| Full Name | DETWANETTE WOODERT |
| Credential | LMT |
| Practice Address |
255 Robbins St Waterbury CT 06708-2762 |
| Mailing Address |
133 Southmayd Rd Fl 2 Waterbury CT 06705-2037 |
| Practice Telephone | 8609196368 |
| Mailing Telephone | 8609196368 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8569 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
255 ROBBINS ST |
| City | WATERBURY |
| State | CT |
| Zip Code | 06708-2762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801927454 | Bruce Seth Gottlieb | Dentist | 255 Robbins St, Waterbury, CT 06708-2752 | 2007-03-07 |
| 1548729759 | George Alfred Rivera Medina | Chiropractor | 255 Robbins St, Waterbury, CT 06708-2762 | 2019-03-18 |
| 1194112490 | Waterbury Chiropractic Office LLC | Chiropractor | 255 Robbins St, Waterbury, CT 06708-2762 | 2015-04-24 |
| 1780870055 | Day Chiropractic | Chiropractor | 255 Robbins St, Waterbury, CT 06708-2762 | 2007-09-20 |
| 1194714295 | John Skorpen | Social Worker | 255 Robbins St, Waterbury, CT 06708-2752 | 2005-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952864787 | Sidhant Singh | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center,160 Robbins Street, Waterbury, CT 06708 | 2019-04-09 |
| 1023574753 | Santa Maria & Schneider D.m.d Waterbury LLC | Dentist | 276 Highland Ave., Waterbury, CT 06708 | 2019-02-19 |
| 1548766959 | Caroline Johnssen | Student in an Organized Health Care Education/Training Program | Chase Outpatient Center, 160 Robbins Street, Waterbury, CT 06708 | 2018-04-04 |
| 1992209530 | Valley Wellness Consulting Group LLC | Social Worker | 969 W Main Street, Suite 3e, Waterbury, CT 06708 | 2018-03-20 |
| 1306346457 | C&s Family Dental Waterbury, LLC | Dentist | 1630 Watertown Ave, Waterbury, CT 06708 | 2018-02-15 |
| 1447759865 | Inurse Homecare, LLC. | Home Health | 140 Fulkerson Drive Unit 2c, Waterbury, CT 06708 | 2018-02-12 |
| 1619423977 | Robert Girard II | Counselor | 969 West Main Street, Suite 1 D, Waterbury, CT 06708 | 2016-08-28 |
| 1457734360 | Alternatives, Inc. | Intermediate Care Facility, Mentally Retarded | 148 Highview St, Waterbury, CT 06708 | 2015-07-09 |
| 1407266901 | Maria Munoz | Obstetrics & Gynecology | 140 Grandview Ave Ste 202, Waterbury, CT 06708 | 2014-05-06 |
| 1922420330 | Danielle Moraes | Social Worker | 276 Highland Av 2nd Fl North, Waterbury, CT 06708 | 2014-01-21 |
| Find all providers in zip 06708 | ||||
| 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 |
|---|---|---|---|---|
| 1497302558 | Jasmine Perez | Massage Therapist | 542 Hill St, Waterbury, CT 06704-2326 | 2019-08-23 |
| 1366697955 | Lorraine Diane Jolly | Massage Therapist | 16 Midwood Ave, Waterbury, CT 06708-2431 | 2008-11-24 |
| 1639432636 | Kimberly R Aldous | Massage Therapist | 46 S Main St, Suite 2, Waterbury, VT 05676-1812 | 2012-06-25 |
| 1245520220 | Eileen Correia-depaola | Massage Therapist | 140 Grandview Ave, Suite 104, Waterbury, CT 06708-2505 | 2011-04-12 |
| 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 | ||||
Please comment or provide details below to improve the information on DETWANETTE WOODERT.
| 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.