KHALAF JERRY (NPI# 1457968075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457968075 |
Entity Type | Individual |
Full Name | KHALAF JERRY |
Practice Address |
180 N Taylor Ave Norwalk CT 06854-1118 |
Practice Telephone | 2038221787 |
Mailing Telephone | 2038221787 |
Enumeration Date | 2020-09-28 |
Last Update Date | 2020-09-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 009421 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
180 N TAYLOR AVE |
City | NORWALK |
State | CT |
Zip Code | 06854-1118 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467959981 | Gail Paige-bowman | Social Worker | 185 Rowayton Woods Dr., Norwalk, CT 06854 | 2018-04-11 |
1457854440 | Dorye Emory Jackson | Counselor | 50 Washington Street, Suite 750, Norwalk, CT 06854 | 2018-03-15 |
1225409550 | Brahmleen Kaur | Dentist | 9a Washington Street, Sono Dental Group LLC, Norwalk, CT 06854 | 2015-10-13 |
1578971461 | 4 Nurses At Work LLC | Registered Nurse | 9 Michael St, Norwalk, CT 06854 | 2014-07-24 |
1730527573 | Hyun Lee | Dentist | 9 Wahington St, Norwalk, CT 06854 | 2013-06-13 |
1861794364 | Laura Hart | Social Worker | 50 Washington St Ste 751, Norwalk, CT 06854 | 2010-12-03 |
1922316363 | Amie Kim | Pharmacist | 650 Connecticut Ave, Norwalk, CT 06854 | 2010-09-20 |
1497934970 | Zhen Zhen He | Pharmacist | 660 Connecticut Ave, Norwalk, CT 06854 | 2007-10-31 |
1467665612 | Megan A Whitney | Dentist | 49 Day Street, Norwalk Smiles Chc, Inc, Norwalk, CT 06854 | 2007-05-07 |
1942244819 | Eric Brandt Einstein | Internal Medicine | 120 Connecticut Avenue, Adult Medicine-nchc, Norwalk, CT 06854 | 2006-06-15 |
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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 |
---|---|---|---|---|
1831706464 | Ibsen Oviedo | Massage Therapist | 41 Lovatt St, Norwalk, CT 06851-4127 | 2020-09-28 |
1396351060 | Veronica Navarro | Massage Therapist | 12800 Orr and Day Rd, Norwalk, CA 90650-2706 | 2020-09-18 |
1407479546 | Shirley Anne Sykes | Massage Therapist | 112 Gillies Ln, Norwalk, CT 06854-1014 | 2020-05-23 |
1487036919 | Theresa Klein-hansen | Massage Therapist | 269 W Main St, Norwalk, OH 44857-2500 | 2015-06-20 |
1740627199 | Gail Bernson | Massage Therapist | 10 East Ave, Norwalk, CT 06851-3921 | 2013-05-24 |
1972810273 | Sergiana Bruno | Massage Therapist | 152 East Ave, 2nd Floor, Norwalk, CT 06851 | 2010-09-08 |
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 |
1740897446 | Jennifer Dolan | Massage Therapist | 28 Tahmore Pl, Shelton, CT 06484-1740 | 2020-09-26 |
1376150375 | Philicia Bryant | Massage Therapist | 69 Farren Ave Apt 3, New Haven, CT 06513-4519 | 2020-09-24 |
1215543673 | Efraim Pereira Da Silva | Massage Therapist | 26 Savin Park, West Haven, CT 06516-5840 | 2020-09-21 |
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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.