MRS. PHYLLIS RUSSELL (NPI# 1518381268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518381268 |
| Entity Type | Individual |
| Full Name | MRS. PHYLLIS RUSSELL |
| Credential | LMT |
| Practice Address |
407 E Montgomery Xrd Savannah GA 31406-4980 |
| Practice Telephone | 9129250881 |
| Mailing Telephone | 9129250881 |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT009487 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
407 E MONTGOMERY XRD |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31406-4980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324042 | Magnolia Home Health, LLC Dba Home Instead Senior Care | Homemaker | 6709 Forest Park Drive, Suite B, Savannah, GA 31406 | 2020-04-08 |
| 1831737949 | Sumona Mitchell | Specialist | 1100 Eisenhower Drive 15, Suite 7, Savannah, GA 31406 | 2019-12-19 |
| 1295373090 | Gateway Behavioral Health Services | Community/Behavioral Health | 2121 East Derenne Ave, Savannah, GA 31406 | 2019-12-12 |
| 1114578820 | Kenya Burns | Technician | 6 Castle Ct, Savannah, GA 31406 | 2019-09-24 |
| 1841755287 | Southside Emergency Dental Center LLC | Dentist | 10515 White Bluff Rd., Savannah, GA 31406 | 2019-02-08 |
| 1639651003 | Rachael Putman | Physical Therapist | 37 W Fairmont Ave Suite 323, Savannah, GA 31406 | 2018-09-03 |
| 1417439852 | Happy Kids Therapies, LLC | Physical Therapist | 37 W. Fairmont Avenue Suite 102, Savannah, GA 31406 | 2018-09-01 |
| 1487146619 | Georgia Occmed LLC | Clinic/Center | 310 Eisenhower Dr Bldg 12 Ste C, Savannah, GA 31406 | 2018-06-04 |
| 1023517505 | Antioch Vascular Center, LLC | Surgery | 9104 Middleground Road, Suite 2, Savannah, GA 31406 | 2018-02-09 |
| 1518496116 | Janay C Russell | Counselor | 6711 Forest Park Drive, Savannah, GA 31406 | 2017-06-07 |
| Find all providers in zip 31406 | ||||
| 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 |
|---|---|---|---|---|
| 1164022968 | Gregory R Bell Jr. | Massage Therapist | 106 W Henry St # B, Savannah, GA 31401-6721 | 2020-10-30 |
| 1184243438 | Charles J Howell Jr. | Massage Therapist | 6605 Abercorn St Ste 105, Savannah, GA 31405-5896 | 2020-04-15 |
| 1447893458 | Shaterra Lewis | Massage Therapist | 125 Tibet Ave Apt 204d, Savannah, GA 31406-5560 | 2019-10-22 |
| 1689136376 | Nadia Tiesh Meyers | Massage Therapist | 418 E 65th St, Savannah, GA 31405-4333 | 2019-04-02 |
| 1629532684 | Charles M Dane | Massage Therapist | 6203 Abercorn St Ste 103e, Savannah, GA 31405-5597 | 2019-01-24 |
| 1457796880 | David Norwood Glisson Sr. | Massage Therapist | 7370 Hodgson Memorial Dr Ste A6, Savannah, GA 31406-2538 | 2013-04-29 |
| 1023361706 | Rose Murray | Massage Therapist | 3025 Bull St., #218, Savannah, GA 31405 | 2012-10-18 |
| 1265754535 | Todd Matthew Norris | Massage Therapist | 7373 Hodgson Memorial Dr, Savannah, GA 31406-1503 | 2010-02-26 |
| 1922570688 | Christy Lynn Rouse | Massage Therapist | 5102 Paulsen St Bldg 7, Savannah, GA 31405-4624 | 2018-12-19 |
| 1073931770 | Christopher Joseph Masters | Massage Therapist | 4425 Paulsen St, Savannah, GA 31405-3662 | 2014-04-01 |
| Find all providers in SAVANNAH | ||||
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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.