DANIEL DEFOREST WILLIAMS (NPI# 1548518947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548518947 |
Entity Type | Individual |
Full Name | DANIEL DEFOREST WILLIAMS |
Practice Address |
824 Ferdinand Dr Shakopee MN 55379-3940 |
Practice Telephone | 9526864917 |
Mailing Telephone | 9526864917 |
Enumeration Date | 2012-08-16 |
Last Update Date | 2012-08-16 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083251094 | Daniel Williams | Registered Nurse | 6033 Kantor St, San Diego, CA 92122-3830 | 2019-12-09 |
1639676182 | Daniel Caleb Williams | Registered Nurse | 13291 Glade Meadow Ln, Conroe, TX 77302-3538 | 2018-04-11 |
1447762984 | Daniel Wesley Williams | Nurse Practitioner | 1801 N Joplin St, Pittsburg, KS 66762-3241 | 2017-10-24 |
1205238292 | Daniel J Williams | Massage Therapist | 7676 N Fresno St. Sp. 6, Fresno, CA 93720 | 2014-09-22 |
1710324264 | Daniel Patterson Williams | Counselor | 51340 Highway 97, La Pine, OR 97739-9871 | 2013-05-23 |
1750683017 | Daniel Roland Williams | Pharmacist | Bradford Town Plaza Rr6, Towanda, PA 18848 | 2010-11-18 |
1407165608 | Daniel Adam Williams | Audiologist | 840 5th St, Wright Patterson Afb, OH 45433 | 2010-10-05 |
1891924833 | Daniel S Williams | Pharmacist | 801 W Cherry St, Suite 129, Sunbury, OH 43074-8573 | 2009-07-13 |
1376704049 | Daniel Lorenzo Williams Jr. | Chiropractor | 8450 Edinger Ave, Huntington Beach, CA 92647 | 2008-06-24 |
1790956779 | Daniel Williams | Emergency Medicine | 20201 South Crawford Avenue, Midwestern University- Chicago Coll. of Osteo. Medicine, Olympia Fields, IL 60461 | 2008-03-18 |
Street Address |
824 FERDINAND DR |
City | SHAKOPEE |
State | MN |
Zip Code | 55379-3940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073123030 | True North Community Dental Clinic, LLC | Dentist | 415 East First Avenue, Shakopee, MN 55379 | 2020-08-05 |
1154988236 | Benedictine Living Community of Shakopee LLC | Assisted Living Facility | 1705 Windermere Way, Shakopee, MN 55379 | 2019-05-23 |
1346741394 | Expressions In Motion LLC | Speech-Language Pathologist | 1221 East 4th Ave., Shakopee, MN 55379 | 2018-02-26 |
1124529334 | A.m Dental Professionals P.a | Clinic/Center | 1036 1st Ave E, Shakopee, MN 55379 | 2018-02-22 |
1538522024 | Jesse Sylvester | Chiropractor | 1275 Ramsey Street South, #600, Shakopee, MN 55379 | 2016-04-01 |
1376903963 | Dakota Best Transportation LLC | Non-emergency Medical Transport (VAN) | 449 Dakota Street Apt 2, Shakopee, MN 55379 | 2016-02-25 |
1568856631 | Tatyana Mishkin Gleyzer | Nurse Practitioner | 1010 West Sixth Avenue, Shakopee, MN 55379 | 2015-03-26 |
1245634039 | Kalli Ledel | Pharmacist | 1198 Vierling Dr, Cub Pharmacy, Shakopee, MN 55379 | 2014-10-22 |
1487992913 | Jennifer Elizabeth Boyd | Nurse Practitioner | Pediatrics 1415 St Francis Ave, Park Nicollet Clinic-shakopee, Shakopee, MN 55379 | 2013-01-17 |
1013253798 | Acts Therapy LLC | Counselor | 8170 Old Carriage Court North, 215, Shakopee, MN 55379 | 2012-12-27 |
Find all providers in zip 55379 |
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 |
---|---|---|---|---|
1164996724 | Angelique Gabrielle Vogel | Massage Therapist | 1061 Madison St S, Shakopee, MN 55379-2056 | 2019-01-17 |
1548516537 | Molly Dose | Massage Therapist | 113 Lewis St S, Shakopee, MN 55379-1446 | 2012-07-27 |
1942446646 | Julie Olson | Massage Therapist | 1667 17th Ave E Ste 103b, Shakopee, MN 55379-4433 | 2008-12-30 |
1629692173 | Marina Matthys | Massage Therapist | 1755 17th Ave E, Shakopee, MN 55379-3372 | 2020-06-01 |
1780151555 | Samantha Lee Kociemba | Massage Therapist | 1755 17th Ave E, Shakopee, MN 55379-3372 | 2018-10-30 |
1265950778 | Natalia Bureac | Massage Therapist | 1755 17th Ave E, Shakopee, MN 55379-3372 | 2017-09-05 |
1952839011 | Vanessa Pagan | Massage Therapist | 1755 17th Ave E, Shakopee, MN 55379-3372 | 2017-06-01 |
1376082495 | Holly Peterson | Massage Therapist | 1755 17th Ave E, Shakopee, MN 55379-3372 | 2017-02-22 |
1881137560 | Amber Gene Angell | Massage Therapist | 287 Marschall Rd, Suite 101, Shakopee, MN 55379 | 2016-11-29 |
1275084378 | Grigoriy Kuznetsov | Massage Therapist | 1755 17th Ave E, Shakopee, MN 55379-3372 | 2016-10-24 |
Find all providers in SHAKOPEE |
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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.