LUCRETIA BENEE VINSON (NPI# 1578175055) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578175055 |
| Entity Type | Individual |
| Full Name | LUCRETIA BENEE VINSON |
| Practice Address |
2575 Whitehaven Dr Sw Ste 121 Marietta GA 30064-4569 |
| Mailing Address |
3355 Slate Dr Austell GA 30106-3185 |
| Practice Telephone | 6754027243 |
| Mailing Telephone | 6784027243 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT012340 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2575 WHITEHAVEN DR SW STE 121 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30064-4569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043833304 | Chelsey Lewis | Pharmacist | 660 Whitlock Ave Sw, Marietta, GA 30064 | 2020-05-21 |
| 1316428527 | Candice Murray | Nurse Practitioner | 2727 Wynford Ave Sw, Marietta, GA 30064 | 2018-08-25 |
| 1427539741 | Emily Dorsey Drew | Nurse Practitioner | 3911 Mary Eliza Trce Nw Ste 200, Marietta, GA 30064 | 2018-08-24 |
| 1649765017 | Julie K Berger | Counselor | 336 Powder Springs St Suite 206, Marietta, GA 30064 | 2018-06-27 |
| 1689175291 | Anthony Bammer | Clinical Exercise Physiologist | 1001 Whitlock Avenue Nw, Marietta, GA 30064 | 2018-02-28 |
| 1831600725 | Dyniecia Barnes | Specialist | 2575 White Haven Dr Sw, Ste 100 / Salon 121, Marietta, GA 30064 | 2017-10-18 |
| 1588173298 | Michelle Ann Stich | Assistant Behavior Analyst | 376 Powder Springs St Ste 130, Marietta, GA 30064 | 2017-09-26 |
| 1194241976 | Namasine Lolice Dalrymple | Counselor | 1708 Peachtree St, Suite 300, Atlanta, GA 30064 | 2017-08-14 |
| 1245760859 | Michael H Mulkey, Dmd PC | Dentist | 3951 Mary Eliza Trace Nw, Suite 200, Marietta, GA 30064 | 2017-06-15 |
| 1700310893 | West Cobb Dentist Office, PC | Dentist | 3805 Dallas Hwy Sw, Suite 804, Marietta, GA 30064 | 2017-04-14 |
| Find all providers in zip 30064 | ||||
| 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 |
|---|---|---|---|---|
| 1437764313 | Alan Atogamis De Souza | Massage Therapist | 2359 Windy Hill Rd Se Ste 320, Marietta, GA 30067-8660 | 2020-09-09 |
| 1740800192 | Patricia Taylor | Massage Therapist | 2123 Favor Rd Sw Apt 8, Marietta, GA 30060-4769 | 2020-04-24 |
| 1154955631 | Carlene Croney | Massage Therapist | 3002 Kingston Ct Se, Marietta, GA 30067-8957 | 2020-02-24 |
| 1811529225 | Octavia Elayne Mckenney | Massage Therapist | 3577 Main Station Dr Sw, Marietta, GA 30008-6054 | 2020-02-04 |
| 1861030694 | Linda Nordahl | Massage Therapist | 145 Church St Ne Ste 103, Marietta, GA 30060-1691 | 2019-12-11 |
| 1376197764 | Tracey E Moody | Massage Therapist | 1838 Blackwater Dr, Marietta, GA 30066-6712 | 2019-07-24 |
| 1558839126 | April Denise Mills | Massage Therapist | 4875 Olde Towne Pkwy Ste 50, Marietta, GA 30068-5632 | 2018-11-12 |
| 1497264527 | Lakisha Gaines | Massage Therapist | 349 Alexander Cir Se, Marietta, GA 30060-2238 | 2017-09-20 |
| 1700317724 | Bria Dailey | Massage Therapist | 4645 Kempton Pl Ne, Marietta, GA 30067-3642 | 2017-03-22 |
| 1225585342 | Hilda Colon | Massage Therapist | 41 West Market Street, Marietta, PA 17547 | 2016-09-07 |
| Find all providers in MARIETTA | ||||
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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.