JENNIFER LYNN BROYLES (NPI# 1568798221) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568798221 |
| Entity Type | Individual |
| Full Name | JENNIFER LYNN BROYLES |
| Credential | LMT |
| Practice Address |
3001 Wildflower Dr Suite 125 Bryan TX 77802-3061 |
| Mailing Address |
3001 Wildflower Dr Suite 611 Bryan TX 77802-3061 |
| Practice Telephone | 9797744343 |
| Mailing Telephone | 9797744343 |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2009-11-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT107292 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235259011 | Jennifer S Broyles | Family Medicine | 6450 38th Ave N Ste 400, St Petersburg, FL 33710-1653 | 2007-03-29 |
| 1467868919 | Jennifer Lee Broyles | Nurse Practitioner | 500 Martha Jefferson Dr, Charlottesville, VA 22911 | 2014-07-05 |
| 1639584535 | Jennifer E. Broyles | Nurse Anesthetist, Certified Registered | 1400 Hospital Dr, Hurricane, WV 25526-9202 | 2014-06-30 |
| 1720351273 | Jennifer Rose Broyles | Counselor | 900 Broadway, Suite 1, Poteau, OK 74953 | 2012-02-14 |
| 1629204805 | Jennifer J. Broyles | Physical Therapist | 126 Mill Lane, Heartland Rehabilitation Services of Virginia, Inc, Salem, VA 24153 | 2009-06-02 |
| Street Address |
3001 WILDFLOWER DR SUITE 125 |
| City | BRYAN |
| State | TX |
| Zip Code | 77802-3061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851811442 | Jonathan Minho Ha | Dentist | 3001 Wildflower Dr, Bryan, TX 77802-3061 | 2017-06-23 |
| 1568865798 | Bryan Modern Dentistry, PC | Dentist | 3001 Wildflower Dr, Suite511, Bryan, TX 77802-3061 | 2014-10-02 |
| 1154603496 | Rita Sonia Pena | Chiropractor | 3001 Wildflower Dr, Suite 611, Bryan, TX 77802-3061 | 2011-09-13 |
| 1396075370 | Mai Sorenson | Massage Therapist | 3001 Wildflower Dr, Suite 611, Bryan, TX 77802-3061 | 2010-01-13 |
| 1831429638 | Wal-interest LLC | Massage Therapist | 3001 Wildflower Dr, Suite 611, Bryan, TX 77802-3061 | 2009-12-30 |
| 1073849725 | Judith Ann Schreckenbach | Massage Therapist | 3001 Wildflower Dr, Ste. 611, Bryan, TX 77802-3061 | 2009-10-29 |
| 1093041741 | Tyson Reed Johnston | Massage Therapist | 3001 Wildflower Dr, 611, Bryan, TX 77802-3061 | 2009-10-29 |
| 1578899233 | Lacey E Bounds | Massage Therapist | 3001 Wildflower Dr, Suite 611, Bryan, TX 77802-3061 | 2009-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013476951 | Andrea Pittman | Student in an Organized Health Care Education/Training Program | Primary Care Medicine Department, College of Medicine, 2900 East 29th Street, Bryan, TX 77802 | 2019-03-19 |
| 1942789110 | Alicia Diane Ates | Dentist | 3001 Wildflower Drive, Suite #511, Bryan, TX 77802 | 2018-08-09 |
| 1588151682 | Metx LLC | Audiologist-Hearing Aid Fitter | 3030 E 29th St Ste 102, Bryan, TX 77802 | 2018-04-16 |
| 1073047437 | Abbi Messer | Family Medicine | 2900 29th Street, Suite 100, Bryan, TX 77802 | 2017-04-12 |
| 1265885180 | Scott Andrew Thayer | Dentist | 3811 Stoneparc Dr, Bryan, TX 77802 | 2016-07-15 |
| 1255792123 | Phoebe Mathew | Pharmacist | 3312 East 29th Street, Bryan, TX 77802 | 2016-03-18 |
| 1801253810 | Pearl Coleshill | Specialist/Technologist | 3121 University Drive E., Suite 100, Bryan, TX 77802 | 2016-01-21 |
| 1265847750 | Wesley Danielle Daniels | Dietitian, Registered | 3900-c Carter Creek Pkway, Bryan, TX 77802 | 2014-06-24 |
| 1235549098 | Regina V. Robertson | Home Health | 1121 Briarcrest Dr., Suite 102, Bryan, TX 77802 | 2014-05-02 |
| 1982024238 | Lampstand Nursing and Rehabilitation, Lp | Skilled Nursing Facility | 2001 E 29th Street, Bryan, TX 77802 | 2014-04-24 |
| Find all providers in zip 77802 | ||||
| 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 |
| 1558697219 | Charles Fred Lang Jr. | Massage Therapist | 4410 Colony Chase Dr, Bryan, TX 77808-7838 | 2009-10-29 |
| 1477169803 | Tonya M Imm | Massage Therapist | 433 W High St, Bryan, OH 43506-1690 | 2020-09-21 |
| 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 |
| Find all providers in BRYAN | ||||
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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.