LOLA SANDERS (NPI# 1497354104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497354104 |
Entity Type | Individual |
Full Name | LOLA SANDERS |
Practice Address |
844 Wilshire Dr Belleville IL 62223-2623 |
Practice Telephone | 3143804202 |
Mailing Telephone | 3143804202 |
Enumeration Date | 2020-10-22 |
Last Update Date | 2020-10-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 2014031513 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
844 WILSHIRE DR |
City | BELLEVILLE |
State | IL |
Zip Code | 62223-2623 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699211268 | Vip Home Health Services, LLC | Home Health | 9454 West Main Street Suite B, Belleville, IL 62223 | 2017-01-06 |
1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
1982039921 | Megan Nicole Kirk | Counselor | 8601 W Main St Ste 201, Belleville, IL 62223 | 2013-09-10 |
1043555758 | Toni Green | Physical Therapy Assistant | 400 S 74th St, Belleville, IL 62223 | 2012-12-06 |
1356626949 | Christopher Patrick Gagen | Pharmacist | 5890 North Belt West, Belleville, IL 62223 | 2011-10-15 |
1861777690 | Carmicheal LLC | General Practice | 8601 West Main St., Ste. 101, Belleville, IL 62223 | 2011-10-12 |
1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
1053616763 | Abdurrahim M Abdulhadi | Anesthesiology | 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 | 2011-01-12 |
1801031695 | Jose Jesus Morales | Anesthesiology | 204 Warrensburg Drive, Belleville, IL 62223 | 2008-12-08 |
Find all providers in zip 62223 |
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 |
---|---|---|---|---|
1659986974 | Josian C Bansrupan | Massage Therapist | 50 Newark Pl, Belleville, NJ 07109-1916 | 2020-09-14 |
1619519725 | Kyle Brunsmann | Massage Therapist | 211 Lebanon Ave, Belleville, IL 62220-4124 | 2019-10-09 |
1073010864 | Shelly Lynn Milton | Massage Therapist | 9530 Rolan Meadows Drive, Belleville, MI 48111 | 2018-04-09 |
1174033708 | Deidre Joy Banahan | Massage Therapist | 1913 M St, Belleville, KS 66935-2238 | 2017-10-10 |
1437699857 | Brenton D Ebersole | Massage Therapist | 8 N Missouri Ave, Belleville, IL 62220-3948 | 2017-03-03 |
1124368683 | Carla Jean Vandenburgh | Massage Therapist | 1600 Lebanon Ave Ste 101, Belleville, IL 62221-2491 | 2013-02-20 |
1578830618 | Angel Rebecca Mcconaughey | Massage Therapist | 48 Mechanic St, Belleville, PA 17004-8906 | 2011-11-17 |
1801976436 | Jennifer R Alban Varela | Massage Therapist | 1140 A 140th Ave Ne, Belleville, WA 98005 | 2006-10-17 |
1265960041 | Jayson Allan Atkins | Massage Therapist | 513 Main St, Belleville, MI 48111-2649 | 2017-05-24 |
1649635962 | Yueh-chien Chen | Massage Therapist | 9910 Belleville Rd, Belleville, MI 48111-1389 | 2015-12-31 |
Find all providers in BELLEVILLE |
City | BELLEVILLE |
Zip Code | 62223 |
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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.