LYNDA SHOUP (NPI# 1568819019) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568819019 |
| Entity Type | Individual |
| Full Name | LYNDA SHOUP |
| Credential | LMT |
| Practice Address |
105 Outrigger Ct Summerville SC 29485-4152 |
| Practice Telephone | 8435326145 |
| Mailing Telephone | 8435326145 |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2016-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 3656 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
105 OUTRIGGER CT |
| City | SUMMERVILLE |
| State | SC |
| Zip Code | 29485-4152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267365 | Cp Dentistry, LLC | Dentist | 9919 Dorchester Road, Summerville, SC 29485 | 2020-08-28 |
| 1922622604 | Rachel Elaine Digiacomo | Physical Therapist | 10160 Dorchester Road, Summerville, SC 29485 | 2020-05-29 |
| 1396220034 | Amanda W Peebles | Nurse Practitioner | 4278 Ladson Rd., Summerville, SC 29485 | 2018-09-28 |
| 1396230728 | Gerald Darnell Woods | Counselor | 10825 Dorchester Rd. #3077, Summerville, SC 29485 | 2018-06-27 |
| 1063901072 | Elite Barber Spa, LLC | Specialist | 850 E Bacons Bridge Road, Suite 303, Summerville, SC 29485 | 2018-05-04 |
| 1598253528 | Daniel Joseph Neitzke | Student in an Organized Health Care Education/Training Program | 9228 Medical Plaza Drive, Charleston, SC 29485 | 2018-04-25 |
| 1700315447 | Donna Marie White | Counselor | 9214 Ayscough Road, Summerville, SC 29485 | 2017-06-07 |
| 1043763212 | Brockman Davis Smith | Dentist | 1710 B Trolley Road, Summerville, SC 29485 | 2016-07-25 |
| 1336508530 | Meca Home Health, LLC | Home Health | 415 Savannah River Rd, Summerville, SC 29485 | 2016-02-16 |
| 1609241033 | Dental Professionals of South Carolina, PC | Dentist | 9510 Dorchester Rd, Suite 400, North Charleston, SC 29485 | 2015-12-10 |
| Find all providers in zip 29485 | ||||
| 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 |
|---|---|---|---|---|
| 1215535406 | Amy Wilkerson | Massage Therapist | 605 Poplar Grove Pl, Summerville, SC 29483-1681 | 2020-10-11 |
| 1235769548 | Jennifer Cathey | Massage Therapist | 103 Wrigley Blvd, Summerville, SC 29485-7297 | 2020-01-26 |
| 1245879253 | Olivia Heath | Massage Therapist | 1815 Old Trolley Rd Unit 109, Summerville, SC 29485-8284 | 2019-12-23 |
| 1851945711 | Tawnya Roenke | Massage Therapist | 221 Basket Grass Ln, Summerville, SC 29486-2407 | 2019-07-30 |
| 1154780575 | Mark Foil Jr. | Massage Therapist | 147 Hickory Ridge Way, Summerville, SC 29483-9759 | 2016-02-12 |
| 1508196304 | Tina Graham Grogan | Massage Therapist | 101 Pamela Ln, Summerville, SC 29483-3063 | 2009-12-30 |
| 1285880070 | Jeannie Arlene Coale | Massage Therapist | 801 Travelers Blvd Ste 5, Summerville, SC 29485-8476 | 2008-08-12 |
| 1821635228 | Dana Monique Greene | Massage Therapist | 820 Central Ave, Summerville, SC 29483-3745 | 2019-12-04 |
| 1710424247 | Galaya Belskaya | Massage Therapist | 1815 Old Trolley Rd, Suite 109, Summerville, SC 29485-8284 | 2017-01-23 |
| 1669916342 | Bethany Knight | Massage Therapist | 146 Back Tee Cir, Summerville, SC 29485-6276 | 2016-12-14 |
| Find all providers in SUMMERVILLE | ||||
| City | SUMMERVILLE |
| Zip Code | 29485 |
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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.