TERESA L. WHITE (NPI# 1467668368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1467668368 |
Entity Type | Organization |
Organization Name | TERESA L. WHITE |
Other Organization Name | PRO MEDICAL REHAB |
Practice Address |
Pro Medical Rehab 460 Mylan Park Lane Morgantown WV 26501 |
Practice Telephone | 3049837766 |
Practice Fax Number | 3049837768 |
Mailing Telephone | 3049837766 |
Mailing Fax Number | 3049837768 |
Enumeration Date | 2007-05-15 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. JOHN DAVID LYNCH (OWNERPROVIDER) |
Authorized Official Telephone | 3049837766 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 19990357 | WV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Other Name | Type Code |
---|---|
Pro Medical Rehab | Doing Business As Name - Organization |
Street Address |
PRO MEDICAL REHAB 460 MYLAN PARK LANE |
City | MORGANTOWN |
State | WV |
Zip Code | 26501 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528718 | Billie Jane Shrout | Technician | #4 Ami Dr, Morgantown, WV 26501 | 2020-11-02 |
1932668852 | Donald Brubaker | Student in an Organized Health Care Education/Training Program | Wvu Medicine, University Town Centre, 6040 University Town Centre Drive, Morgantown, WV 26501 | 2019-03-19 |
1194280446 | Braeden Chase Carroll | Specialist/Technologist | 636 Madison Ave, Morgantown, WV 26501 | 2019-01-31 |
1629541545 | Key Learning Autism Center Inc | Community/Behavioral Health | Mountaineer Mall, 5000 Greenbag Road Space A-1, Morgantown, WV 26501 | 2019-01-03 |
1922575463 | Heather Lynne Oneal | Midwife | 864 Vandalia Rd, Morgantown, WV 26501 | 2018-11-01 |
1609252634 | Nathan Robert Tomasik | Physical Therapist | 746 Fairmont Road, Westover, WV 26501 | 2015-07-31 |
1174922462 | Shelly Cummings | Nurse Practitioner | 5000 Greenbag Rd Ste E08, Morgantown, WV 26501 | 2014-08-22 |
1841609419 | Christine A Sutch | Family Medicine | 6040 University Town Center, Morgantown, WV 26501 | 2014-08-08 |
1073808432 | Megan B Darrah | Occupational Therapist | 6 Edwin Street, Morgantown, WV 26501 | 2011-06-14 |
1831325729 | Carol M. Kisner Mcgraw | Occupational Therapist | 26 Commerce Drive, Westover, WV 26501 | 2009-06-05 |
Find all providers in zip 26501 |
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 |
---|---|---|---|---|
1669005674 | Dawn Fasig | Massage Therapist | 11 Commerce Dr Ste 100, Morgantown, WV 26501-3858 | 2020-02-18 |
1376949339 | Lynzi Ann Cottingham | Massage Therapist | 1242 Richwood Ave, Morgantown, WV 26505-5266 | 2014-11-18 |
1023442431 | Samuel Grafton Fisher | Massage Therapist | 55 Clear Spring Dr, Morgantown, WV 26508-3202 | 2013-08-22 |
1609119619 | Amber Neile Owens | Massage Therapist | 1212 Van Voorhis Rd, Suite 2, Morgantown, WV 26505-3530 | 2013-03-28 |
1073881488 | Alana Dennison | Massage Therapist | 683 Killarney Dr, Morgantown, WV 26505-2444 | 2011-12-13 |
1174838312 | Kristi Elaine Shaffer | Massage Therapist | 1450 Summers School Rd, Morgantown, WV 26508-1587 | 2010-08-12 |
1831421833 | Stephanie Lynn Carlson | Massage Therapist | 211 Fayette St, Ste 13, Morgantown, WV 26505-5605 | 2010-02-02 |
1992957666 | Tamela Marie Burkett | Massage Therapist | 288 Rolling Hills Vlg, Morgantown, WV 26508-8050 | 2008-10-14 |
1427278324 | Cindy S Summers | Massage Therapist | 2304 Smithtown Rd, Morgantown, WV 26508-2318 | 2007-04-26 |
1376550210 | Stephanie Marie Burch | Massage Therapist | 1756 Mileground Rd Apt H, Morgantown, WV 26505-3785 | 2006-08-02 |
Find all providers in MORGANTOWN |
City | MORGANTOWN |
Zip Code | 26501 |
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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.