MR. ALLEN WADE BRAITHWAITE (NPI# 1598967846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598967846 |
| Entity Type | Individual |
| Full Name | MR. ALLEN WADE BRAITHWAITE |
| Credential | LMT |
| Practice Address |
9809 Candelaria Rd Ne Ste 2b Albuquerque NM 87112-1458 |
| Practice Telephone | 5055532354 |
| Mailing Telephone | 5055532354 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 5251 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9809 CANDELARIA RD NE STE 2B |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87112-1458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568472918 | Brenda Kay Petty | Acupuncturist | 9809 Candelaria Rd Ne, Suite 2b, Albuquerque, NM 87112-1458 | 2006-08-08 |
| 1588930390 | Nina J Demaroney | Specialist | 9809 Candelaria Rd Ne, Suite 2-b, Albuquerque, NM 87112-1458 | 2012-03-26 |
| 1083938112 | Marie Elizabeth Redner | Massage Therapist | 9809 Candelaria Rd Ne, Albuquerque, NM 87112-1458 | 2010-03-18 |
| 1598902322 | Sean Lang | Specialist | 9809 Candelaria Rd Ne, Suite 2b, Albuquerque, NM 87112-1458 | 2009-01-15 |
| 1518112655 | Alternative Wellness Center | Health Maintenance Organization | 9809 Candelaria Rd Ne, Ste 1b, Albuquerque, NM 87112-1458 | 2008-11-17 |
| 1023206976 | Jill Marie Stape I | Acupuncturist | 9809 Candelaria Rd Ne, Suite 3, Albuquerque, NM 87112-1458 | 2007-10-04 |
| 1508068859 | Douglas Wayne Perry | Massage Therapist | 9809 Candelaria Rd Ne, Ste 2b, Albuquerque, NM 87112-1458 | 2007-05-31 |
| 1306919030 | Lisa A Bishop | Midwife | 9809 Candelaria Rd Ne, Bldg #2, Albuquerque, NM 87112-1458 | 2006-11-17 |
| 1134212178 | Martha Jane Jones | Nurse Practitioner | 9809 Candelaria Rd Ne, Suite 3a, Albuquerque, NM 87112-1458 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356999411 | Lynn Eileen Riley | Counselor | 10205 Stovall Pl Ne, Albuquerque, NM 87112 | 2019-08-30 |
| 1548818222 | Cindy D Montoya | Technician | 11405 Snow Heights Blvd Ne, Albuquerque, NM 87112 | 2019-08-27 |
| 1194387449 | Karen Sue Stockham | Counselor | 9024 Aspen Ave Ne, Albuquerque, NM 87112 | 2019-07-07 |
| 1316416837 | New Beginning Counseling Services Inc | Counselor | 2617 Juan Tabo Blvd Ne Unit A/d, Albuquerque, NM 87112 | 2018-11-14 |
| 1306365929 | Calyx Institute LLC | Social Worker | 10701 Lomas Blvd Ne, Ste. 101, Albuquerque, NM 87112 | 2017-09-14 |
| 1811411135 | Annette Romero | Case Manager/Care Coordinator | 9741 Candelaria, Albuquerque, NM 87112 | 2017-07-28 |
| 1851814784 | Ally Renee Funkhouser Dye | Pediatrics | 2130 Eubank Blvd Ne, Albuquerque, NM 87112 | 2017-07-23 |
| 1508303140 | Makena Bailey Nash | Behavior Technician | 12801 Indian School Ne Apt 508, Albuquerque, NM 87112 | 2017-01-20 |
| 1477978906 | Albert R Toya | Massage Therapist | 2601 Wyoming Blvd N.e. Room 115-c, Albuquerque, NM 87112 | 2014-02-20 |
| 1184918104 | Jennifer E Chavez | Counselor | 1505 Marron Circle Ne, Albuquerque, NM 87112 | 2011-06-07 |
| Find all providers in zip 87112 | ||||
| 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 |
|---|---|---|---|---|
| 1396369997 | Darla Rae Shrock | Massage Therapist | 8821 Golf Course Rd Nw, Albuquerque, NM 87114-5726 | 2020-05-31 |
| 1669000592 | Eric Revels | Massage Therapist | University of New Mexico Msco6 3870, Albuquerque, NM 87131-0001 | 2020-03-27 |
| 1629615950 | Kristen Leblanc | Massage Therapist | 2508 Garfield Ave Se Ste B3, Albuquerque, NM 87106-3697 | 2019-12-05 |
| 1851936280 | Caroline Meyers | Massage Therapist | 9204 Menaul Blvd Ne Ste 4nw, Albuquerque, NM 87112-2256 | 2019-11-08 |
| 1609433804 | Jacqueline Collette Johnson | Massage Therapist | 612 Madeira Dr Se, Albuquerque, NM 87108-3614 | 2019-05-22 |
| 1194381624 | Kalina Holian | Massage Therapist | 401 Shirley St Ne, Albuquerque, NM 87123-2938 | 2019-05-09 |
| 1831654466 | Martina Dahl Solis | Massage Therapist | 4414 Towner Ave Ne Ste A, Albuquerque, NM 87110-3910 | 2019-02-07 |
| 1023592722 | Cristina Rose Gasca | Massage Therapist | 2921 Carlisle Blvd Ne Ste 104, Albuquerque, NM 87110-2850 | 2018-09-18 |
| 1639652449 | Sara Lynn Barker | Massage Therapist | 4601 Paradise Blvd Nw Ste 112, Albuquerque, NM 87114-6152 | 2018-09-08 |
| 1710469002 | Stephani Mccoy | Massage Therapist | 6211 San Mateo Blvd Ne Ste 200, Albuquerque, NM 87109-3534 | 2018-09-03 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87112 |
Please comment or provide details below to improve the information on MR. ALLEN WADE BRAITHWAITE.
| 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.