GLENDA PAULETTA EVANS (NPI# 1437713088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437713088 |
Entity Type | Individual |
Full Name | GLENDA PAULETTA EVANS |
Credential | LMT |
Practice Address |
25070 Woodvale Dr S Southfield MI 48034-1214 |
Practice Telephone | 3139380565 |
Mailing Telephone | 3139380565 |
Enumeration Date | 2019-04-30 |
Last Update Date | 2019-04-30 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 7501011024 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578030680 | Glenda Evans | Case Manager/Care Coordinator | 2017 Hudson Ln, Monroe, LA 71201-5705 | 2018-10-26 |
1871826586 | Glenda Darlene Evans | Social Worker | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2009-09-13 |
Street Address |
25070 WOODVALE DR S |
City | SOUTHFIELD |
State | MI |
Zip Code | 48034-1214 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
Find all providers in zip 48034 |
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 |
---|---|---|---|---|
1568092625 | Jennifer Garmo | Massage Therapist | 17241 W 12 Mile Rd, Southfield, MI 48076-2130 | 2020-01-16 |
1669019402 | Dana Gaye Calhoun | Massage Therapist | 28919 Evergreen Rd, Southfield, MI 48076-5902 | 2019-11-27 |
1295382356 | Tywana R Colson | Massage Therapist | 25511 Southfield Rd Ste 114, Southfield, MI 48075-1830 | 2019-08-23 |
1477016764 | Michigan Massage Therapy | Massage Therapist | 23265 Northwestern Hwy Ste 100b, Southfield, MI 48075-7707 | 2019-04-12 |
1538621719 | Christina Das-minta | Massage Therapist | 17200 W 10 Mile Rd Ste 101, Southfield, MI 48075-2998 | 2019-04-05 |
1164989422 | All In One Therapy | Massage Therapist | 29688 Telegraph Rd Ste 400, Southfield, MI 48034-1364 | 2019-02-22 |
1861957839 | Korto Elaine Milas | Massage Therapist | 25901 W 10 Mile Rd Ste 110, Southfield, MI 48033-2857 | 2019-02-04 |
1811467038 | Jnai L Porter | Massage Therapist | 16000 W 9 Mile Rd Ste 410, Southfield, MI 48075-4839 | 2018-11-30 |
1336616853 | Break for Massage | Massage Therapist | 3000 Town Ctr Ste 58, Southfield, MI 48075-1120 | 2018-11-02 |
1982182739 | Garry Al Adkins | Massage Therapist | 29532 Southfield Rd Ste 106, Southfield, MI 48076-2023 | 2018-08-03 |
Find all providers in SOUTHFIELD |
City | SOUTHFIELD |
Zip Code | 48034 |
Please comment or provide details below to improve the information on GLENDA PAULETTA EVANS.
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.