DAKETIA L THOMAS (NPI# 1619211919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619211919 |
| Entity Type | Individual |
| Full Name | DAKETIA L THOMAS |
| Practice Address |
8314 Portage Rd Suite D Kalamazoo MI 49002 |
| Mailing Address |
Po Box 51392 Kalamazoo MI 49005 |
| Practice Telephone | 2693213690 |
| Mailing Telephone | 2693213690 |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 226300000X | Kinesiotherapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 224Y00000X | Clinical Exercise Physiologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8314 PORTAGE RD SUITE D |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604204 | Susan Vandewalker | Physical Therapist | 8001 Angling Rd., Portage, MI 49002 | 2018-03-28 |
| 1134634934 | Portage Chiropractic and Wellness Center | Chiropractor | 609 E. Centre, Portage, MI 49002 | 2017-12-04 |
| 1548620537 | Patricia Eid | Behavioral Analyst | 1016 E Milham Ave, Suite 2, Portage, MI 49002 | 2016-03-03 |
| 1386045383 | Pinnacle Senior Care of Kalamazoo, LLC | Home Health | 2725 Airview Blvd Ste 105b, Portage, MI 49002 | 2014-09-09 |
| 1104241611 | Meredith Ayers Holland | Behavioral Analyst | 9616 Portage Road, Portage, MI 49002 | 2014-02-20 |
| 1831457142 | Kinetic Kids, LLC | Occupational Therapist | 540 East Milham, Portage, MI 49002 | 2012-04-25 |
| 1154689404 | Lauren Michelle Mattaliano | Occupational Therapist | 540 E. Milham Road, Portage, MI 49002 | 2012-04-24 |
| 1114219227 | South Michigan Psychiatric Services LLC | Psychiatry & Neurology | 5390 Lovers Ln, Third Floor, Portage, MI 49002 | 2011-05-07 |
| 1174836316 | Premier Neuropsychiatry Plc | Psychiatry & Neurology | 5930 Lovers Lane, Portage, MI 49002 | 2010-07-16 |
| 1992022503 | Paul Maxwell Brinkley | Counselor | 1398 Palmetto Dr., Portage, MI 49002 | 2010-04-23 |
| Find all providers in zip 49002 | ||||
| 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 |
|---|---|---|---|---|
| 1467066696 | Ashley Candelaria | Massage Therapist | 2820 Lowell St, Kalamazoo, MI 49001-4457 | 2020-09-04 |
| 1922641174 | Patricia Kay Hetrick | Massage Therapist | 500 W Crosstown Pkwy, Kalamazoo, MI 49008-1995 | 2019-10-21 |
| 1720596224 | Charleen Fewtrell | Massage Therapist | 8089 Stadium Dr # Dt, Kalamazoo, MI 49009-6270 | 2018-01-18 |
| 1104377829 | Andrew Peekstok | Massage Therapist | 5380 Holiday Ter Ste 26, Kalamazoo, MI 49009-2128 | 2016-10-18 |
| 1851750798 | Jill Slunick | Massage Therapist | 2100 N 3rd St, Kalamazoo, MI 49009-8593 | 2016-02-21 |
| 1669830006 | Daniel Armand Lockett | Massage Therapist | 916 Eldridge Dr, Kalamazoo, MI 49006-5444 | 2016-01-30 |
| 1326458365 | Heather Mcdermott | Massage Therapist | 6610 Bela Ave, Kalamazoo, MI 49009-6597 | 2014-04-29 |
| 1154760486 | Jillian Michelle Samul | Massage Therapist | 1105 S Park St, Kalamazoo, MI 49001-5636 | 2013-06-19 |
| 1366889941 | Elizabeth Bullmer | Massage Therapist | 3244 S Westnedge Ave, Kalamazoo, MI 49008-2903 | 2013-05-23 |
| 1770829186 | Sherrie Lee Gearhart | Massage Therapist | 6121 N 24th St, Kalamazoo, MI 49004-8680 | 2012-12-13 |
| Find all providers in KALAMAZOO | ||||
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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.