SUSAN MARIE PELLETIER (NPI# 1578903779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578903779 |
| Entity Type | Individual |
| Full Name | SUSAN MARIE PELLETIER |
| Credential | LMT |
| Practice Address |
721 Lakeview Rd Suite E Clearwater FL 33756-3422 |
| Mailing Address |
3636 36th St N St Petersburg FL 33713-1414 |
| Practice Telephone | 7275655076 |
| Mailing Telephone | 7275655076 |
| Enumeration Date | 2013-07-02 |
| Last Update Date | 2013-07-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | MM 30813 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225700000X | Massage Therapist | MA 55259 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629409198 | Susan Yvonne Pelletier | Durable Medical Equipment & Medical Supplies | 1600 Central Drive, Suite 157, Bedford, TX 76022 | 2013-12-09 |
| 1669998597 | Susan Pelletier | Marriage & Family Therapist | 15116 S Gibson Ave, East Rancho Dominguez, CA 90221-3106 | 2017-08-22 |
| Street Address |
721 LAKEVIEW RD SUITE E |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| 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 |
|---|---|---|---|---|
| 1740893676 | Anthony Johnson | Massage Therapist | 25350 Us Highway 19 N Apt 212, Clearwater, FL 33763-2125 | 2020-08-29 |
| 1326689795 | Jesse Sprague | Massage Therapist | 2561 Harn Blvd Unit 6, Clearwater, FL 33764-5133 | 2019-10-07 |
| 1508381948 | Michelle Alexandria Brown | Massage Therapist | 2431 Estancia Blvd Ste A2, Clearwater, FL 33761-2608 | 2017-08-07 |
| 1114442597 | Candy Kibert | Massage Therapist | 2637 Mccormick Dr Ste 102, Clearwater, FL 33759-1034 | 2017-08-07 |
| 1720485576 | Claude Hooten IIi | Massage Therapist | 641 1/2 Mandalay Ave, Clearwater, FL 33767-1523 | 2014-11-21 |
| 1972924397 | Melissa Elaine Loera | Massage Therapist | 2936 Drew St, Apt. 1323, Clearwater, FL 33759-3055 | 2014-01-02 |
| 1659627578 | Jennifer Mcquade Wilson | Massage Therapist | 1153 Ne Cleveland St, Clearwater, FL 33755-4815 | 2012-07-29 |
| 1629354329 | Cathy Friedman-kamhi | Massage Therapist | 16 N Fort Harrison Ave, Clearwater, FL 33755-4015 | 2011-10-25 |
| 1558640375 | Steven Charles Lund | Massage Therapist | 1514 Midnight Pass Way, Clearwater, FL 33765-1818 | 2011-08-10 |
| 1255628293 | Deonna Lea Bouska | Massage Therapist | 18542 Driftwood Rd, Clearwater, MN 55320-1617 | 2011-06-28 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
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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.