MRS. ALICE WASHINGTON PETERSON (NPI# 1598199622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598199622 |
| Entity Type | Individual |
| Full Name | MRS. ALICE WASHINGTON PETERSON |
| Credential | LMT |
| Practice Address |
148 Sauls St Lake City SC 29560-2631 |
| Mailing Address |
202 Williamsburg Ave Lake City SC 29560-2736 |
| Practice Telephone | 8433744433 |
| Mailing Telephone | 8435982905 |
| Enumeration Date | 2013-08-26 |
| Last Update Date | 2013-08-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8484 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871654418 | Alice Ruth Peterson | Physician Assistant | 4545 E Chandler Blvd Ste 104, Phoenix, AZ 85048 | 2006-12-13 |
| Street Address |
148 SAULS ST |
| City | LAKE CITY |
| State | SC |
| Zip Code | 29560-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497715148 | Maud N Mmbo-keith | Occupational Therapist | 148 Sauls St, Ste B, Lake City, SC 29560-2631 | 2006-03-26 |
| 1114467586 | Carolinas Medical Alliance Inc | Radiology | 148 Sauls St, Suite F, Lake City, SC 29560-2677 | 2017-03-03 |
| 1417354606 | Carolinas Medical Alliance Inc | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2014-12-03 |
| 1033534151 | Diana Lee Collins | Nurse Practitioner | 148 Sauls St, Lake City, SC 29560-2677 | 2014-02-26 |
| 1487942157 | Live Oak Medical Center | Non-Pharmacy Dispensing Site | 148 Sauls St, Lake City, SC 29560-2631 | 2011-07-15 |
| 1255630174 | Palmetto Primary Care Physicians | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2011-03-17 |
| 1386957942 | Lake City Diagnostic Imaging, Inc. | Clinic/Center | 148 Sauls St, Lake City, SC 29560-2631 | 2010-07-23 |
| 1104145697 | Ih3 Physcial Therapy | Clinic/Center | 148 Sauls St, Lake City, SC 29560-2631 | 2010-05-23 |
| 1144314394 | Ernest M Atkinson | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2006-10-03 |
| 1003912775 | Benjamin Wade Lamb | Family Medicine | 148 Sauls St, Lake City, SC 29560-2631 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457830366 | Patty Fulmore | In Home Supportive Care | 141 Bulldog Lane, Lake City, SC 29560 | 2018-08-10 |
| 1558875211 | Msk Transportation | Non-emergency Medical Transport (VAN) | 226 Lake Dale Ave, Lake City, SC 29560 | 2017-11-16 |
| 1861867566 | Denita Alison Pleasant | Pharmacist | 301 West Thomas Street, Lake City, SC 29560 | 2015-12-07 |
| 1821474115 | Pro-motion Physical Therapy of Florence, Sc, LLC | Occupational Therapist | 148 B Sauls Street, Lake City, SC 29560 | 2015-08-10 |
| 1023412335 | Motivations-unlimited | Speech-Language Pathologist | 318 A Moore Street, Lake City, SC 29560 | 2014-10-15 |
| 1700297652 | Sharon Lewis | Pharmacist | 900 Us Highway 52, Lake City, SC 29560 | 2014-05-14 |
| 1376954305 | Sergio Montes | Pharmacist | 900 Us Hwy 52, Lake City, SC 29560 | 2014-05-13 |
| 1992122857 | Paula Moses | Pharmacist | 900 U.s Hwy. 52, Lake City, SC 29560 | 2014-03-27 |
| 1063762763 | Dawn Mcelveen Floyd | Pharmacist | 301 W Thomas Street, Lake City, SC 29560 | 2012-09-11 |
| 1548519507 | Robert Bruce Page | Pharmacist | 401 West Thomas St, Lake City, SC 29560 | 2012-09-06 |
| Find all providers in zip 29560 | ||||
| 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 |
|---|---|---|---|---|
| 1376082743 | Barbara Garcia | Massage Therapist | 155 Se Cypress Hollow Gln, Lake City, FL 32025-2336 | 2017-02-18 |
| 1316482300 | Suzanne Smith | Massage Therapist | 102 B S. Main St, Lake City, MI 49651 | 2016-12-29 |
| 1184094450 | Susan Anne Spiker | Massage Therapist | 955 Sw Baya Dr, Lake City, FL 32025-4210 | 2015-09-30 |
| 1831570167 | Carolyn Michelle Heimbuch | Massage Therapist | 211 S Carolyn Dr, Lake City, MI 49651-8501 | 2015-06-11 |
| 1205231537 | Jennifer Percell | Massage Therapist | 1009 Sw Main Blvd, Suite 110, Lake City, FL 32025-5781 | 2014-10-29 |
| 1417254210 | Rachel Danette Lewis | Massage Therapist | 322 S Marion Ave, Lake City, FL 32025-7064 | 2011-02-15 |
| 1295045938 | Ibw Group, LLC | Massage Therapist | 272 Sw Alachua Ave, Lake City, FL 32025 | 2010-10-15 |
| 1487967824 | Amanda Lyn Collins | Massage Therapist | 1219 Sw Main Blvd, Lake City, FL 32025-6685 | 2010-07-14 |
| 1023346368 | Angel C Bowen | Massage Therapist | 275 N Marion Ave, Lake City, FL 32055-2864 | 2009-11-25 |
| 1831424167 | Cynthia Austin Mobley | Massage Therapist | 122 Sw Sweetbay Ct, Lake City, FL 32024-0738 | 2009-10-05 |
| Find all providers in LAKE CITY | ||||
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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.