AMDEMICHAEL RETTA (NPI# 1447859467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447859467 |
| Entity Type | Individual |
| Full Name | AMDEMICHAEL RETTA |
| Practice Address |
1260 Larpenteur Ave W Apt 320 Saint Paul MN 55113-6324 |
| Practice Telephone | 6514429103 |
| Mailing Telephone | 6514429103 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1260 LARPENTEUR AVE W APT 320 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55113-6324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384376 | Zachary Mattson | Physician Assistant | Regus Coworking Space 2355 Highway 36 West, Suite 400, Office #427, Roseville, MN 55113 | 2019-12-23 |
| 1467010330 | Ahmed Issa | Student in an Organized Health Care Education/Training Program | 1550 Larpenteur Ave W, Apt 235, St Paul, MN 55113 | 2019-06-05 |
| 1821653833 | Suite Living Senior Care of Little Canada | Assisted Living Facility | 2740 Rice Street, Little Canada, MN 55113 | 2019-05-06 |
| 1902370505 | Diverse Assessments and Treatment, LLC | Psychologist | 1935 Cty Rd B2 W Ste 270, Roseville, MN 55113 | 2019-01-16 |
| 1588138473 | Applewood Home Health Care, LLC | Home Health | 2021 E Hennepin Avenue # 402-1, Minneapolis, MN 55113 | 2019-01-14 |
| 1699251520 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2685 Patton Rd, Roseville, MN 55113 | 2018-07-13 |
| 1083104145 | Suite Living Senior Care of Roseville | Assisted Living Facility | 197 County Road B2 W, Roseville, MN 55113 | 2018-05-15 |
| 1477055796 | Sunrise Residential Services LLC | Home Health | 216 Maple Ln, Roseville, MN 55113 | 2018-03-02 |
| 1194223024 | Alissa Hoff | Specialist | 1595 Mn 36 - 584 10 Rosedale Center, Roseville, MN 55113 | 2018-01-25 |
| 1841705118 | Kingsland Care Services Incorporated | Case Management | 2301 Rice Street, Suite 101, Roseville, MN 55113 | 2017-12-08 |
| Find all providers in zip 55113 | ||||
| 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 |
|---|---|---|---|---|
| 1285247932 | Root and Branch LLC | Massage Therapist | 965 Payne Ave, Saint Paul, MN 55130-4194 | 2020-08-24 |
| 1740837855 | Paulette M Wisnom | Massage Therapist | 600 University Ave W Ste 10, Saint Paul, MN 55103-1939 | 2019-08-22 |
| 1942766068 | Katrina Jean Cordes | Massage Therapist | 2550 University Ave W # 244south, Saint Paul, MN 55114-1052 | 2019-02-13 |
| 1649746199 | Peter Cairns | Massage Therapist | 1894 Summit Ave, Saint Paul, MN 55105-1427 | 2018-10-22 |
| 1801391941 | Center for Integrative Massage, LLC | Massage Therapist | 1053 Grand Ave Ste 113, Saint Paul, MN 55105-3074 | 2018-03-29 |
| 1699215319 | Ryan M Herst | Massage Therapist | 1445 Jessamine Ave W, Apt 307, Saint Paul, MN 55108-2684 | 2017-02-28 |
| 1669911913 | Amy Yang | Massage Therapist | 78 Magnolia Ave West, Saint Paul, MN 55117-4913 | 2017-02-20 |
| 1831555663 | April Aegerter | Massage Therapist | 764 Lexington Pkwy N, Saint Paul, MN 55104-1435 | 2016-01-09 |
| 1124423314 | Julie Hartmans | Massage Therapist | 693 Wilson Ave Apt 3, Saint Paul, MN 55106-6638 | 2014-10-30 |
| 1295161073 | Celestial Touch Massage Center LLC | Massage Therapist | 175 Milton St N, Saint Paul, MN 55104-6527 | 2013-09-24 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55113 |
Please comment or provide details below to improve the information on AMDEMICHAEL RETTA.
| 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.