MRS. TONYA M IMM (NPI# 1477169803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477169803 |
| Entity Type | Individual |
| Full Name | MRS. TONYA M IMM |
| Credential | LMT |
| Practice Address |
433 W High St Bryan OH 43506-1690 |
| Practice Telephone | 4196302284 |
| Practice Fax Number | 4196302285 |
| Mailing Telephone | 4196302284 |
| Mailing Fax Number | 4196302285 |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 33.019723 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OHIO MEDICAL BOARD | 33.019723 | 01 |
| Street Address |
433 W HIGH ST |
| City | BRYAN |
| State | OH |
| Zip Code | 43506-1690 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063413813 | Larry Michael Pickett | Nurse Anesthetist, Certified Registered | 433 W High St, Bryan, OH 43506-1690 | 2005-08-02 |
| 1609334556 | Williams Emergency Group, LLC | Physician Assistant | 433 W High St, Bryan, OH 43506-1690 | 2019-03-11 |
| 1053884585 | Caitlin Nicole Armstrong | Nurse Anesthetist, Certified Registered | 433 W High St, Bryan, OH 43506-1690 | 2019-01-08 |
| 1003334178 | Jennifer Lynn Witte | Speech-Language Pathologist | 433 W High St, Bryan, OH 43506-1690 | 2017-09-08 |
| 1427574896 | Emily Turnbull | Speech-Language Pathologist | 433 W High St, Bryan, OH 43506-1690 | 2017-08-17 |
| 1104376219 | Nicole Marie Pothast | Advanced Practice Midwife | 433 W High St, Bryan, OH 43506-1690 | 2016-10-12 |
| 1033669734 | Vaishali Patel | Nurse Practitioner | 433 W High St, Bryan, OH 43506-1690 | 2016-10-06 |
| 1750764718 | Gregory Durham | Nurse Practitioner | 433 W High St, Bryan, OH 43506-1690 | 2015-07-08 |
| 1699165621 | Samaritan Emergency Physicians LLP | Emergency Medicine | 433 W High St, Bryan, OH 43506-1690 | 2015-01-29 |
| 1902294689 | Megan P Fillman | Nurse Anesthetist, Certified Registered | 433 W High St, Bryan, OH 43506-1690 | 2015-01-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750883203 | Jennifer Spangler | Massage Therapist | 228 S. Main St., Bryan, OH 43506 | 2018-03-01 |
| 1922547215 | Alissa Niswonger | Specialist/Technologist | 106 Avenue B, Bryan, OH 43506 | 2017-02-20 |
| 1902140320 | Marcia Jean Slabaugh | Physical Therapy Assistant | 5299 County Road 1575, Bryan, OH 43506 | 2012-11-26 |
| 1215086640 | Filling Memorial Home Cardinal | Intermediate Care Facility, Mentally Retarded | 1211 Cardinal Drive, Bryan, OH 43506 | 2007-01-08 |
| 1396855714 | Williams County Transport | Ambulance | 05842 St Rt 15, Bryan, OH 43506 | 2006-08-30 |
| 1982635603 | Americare Health Services LLC | Durable Medical Equipment & Medical Supplies | 121 E South St, Bryan, OH 43506 | 2006-07-05 |
| 1174561963 | Richard U Baldwin | Emergency Medicine | 433 W. High St., Bryan, OH 43506 | 2006-06-03 |
| 1073595757 | Thomas A. Losey | Family Medicine | 442 West High Street, Midwest Community Health Associates, Bryan, OH 43506 | 2005-11-17 |
| 1841298296 | Claire Laree Osborn | Family Medicine | Activate Healthcare/500 W Mulberry St., Suite 101, Bryan, OH 43506 | 2005-07-11 |
| 1225519762 | Fountain City Chiropractic & Rehabilitation, Inc | Chiropractor | 1525 W High St, Ste A, Bryan, OH 43506 | 2018-08-23 |
| Find all providers in zip 43506 | ||||
| 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 |
|---|---|---|---|---|
| 1588282107 | Krista V Hazlett | Massage Therapist | 106 North Ave E, Bryan, TX 77801-4437 | 2020-07-09 |
| 1750883203 | Jennifer Spangler | Massage Therapist | 228 S. Main St., Bryan, OH 43506 | 2018-03-01 |
| 1114395951 | In Touch Therapeutic Massage, LLC | Massage Therapist | 1210 W High St, Bryan, OH 43506-3521 | 2015-09-10 |
| 1922364850 | Maria O. Alvarez | Massage Therapist | 3100 Wildflower Dr, Suite 611, Bryan, TX 77802-3062 | 2012-04-04 |
| 1093081283 | Jeanine M Penland | Massage Therapist | 3311 Smetana Rd, Bryan, TX 77807-5275 | 2012-04-01 |
| 1669754222 | Kayela M Oliver-greer | Massage Therapist | 3001 Wildflower Dr Ste 611, Bryan, TX 77802-3061 | 2011-09-09 |
| 1568798221 | Jennifer Lynn Broyles | Massage Therapist | 3001 Wildflower Dr, Suite 125, Bryan, TX 77802-3061 | 2009-10-29 |
| 1558697219 | Charles Fred Lang Jr. | Massage Therapist | 4410 Colony Chase Dr, Bryan, TX 77808-7838 | 2009-10-29 |
| 1841659901 | Shannon Sprague | Massage Therapist | 1525 W High St, Bryan, OH 43506-2599 | 2016-02-17 |
| 1225464092 | Crystal A. Henry | Massage Therapist | 433 W High St, Bryan, OH 43506 | 2013-09-24 |
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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.