ROBERT WAYNE FULLER JR. (NPI# 1619576303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619576303 |
| Entity Type | Individual |
| Full Name | ROBERT WAYNE FULLER JR. |
| Credential | LMT |
| Practice Address |
7211 Nw 83rd St Ste 207d Kansas City MO 64152-6022 |
| Mailing Address |
3605 Blue Ridge Ext Apt 3 Grandview MO 64030-1547 |
| Practice Telephone | 8164821695 |
| Mailing Telephone | 8164821695 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2005017920 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619223039 | Robert Reid Fuller | Social Worker | 35 Warrior Mountain Rd, Tryon, NC 28782-2570 | 2012-08-03 |
| 1386972974 | Robert L Fuller | Dentist | 761 S 1030 E, Orem, UT 84097-6688 | 2009-11-20 |
| 1710909171 | Robert G Fuller | Family Medicine | 1950 Doctors Park Dr, Building 2, Columbus, IN 47203-2219 | 2006-07-24 |
| 1104446335 | Robert Fuller | Licensed Vocational Nurse | 8001 S Us Highway 75, Sherman, TX 75090-5707 | 2020-04-17 |
| 1407312994 | Robert Fuller | Behavioral Analyst | 39 E Franklin St, Hagerstown, MD 21740-4914 | 2019-02-20 |
| 1568941987 | Robert Wayne Fuller | Physical Therapist | 910 Wallace Ave, Leitchfield, KY 42754-2414 | 2018-08-07 |
| 1730406679 | Robert Dodd Fuller | Dentist | 706 S King St, Suite 5, Leesburg, VA 20175-3918 | 2010-05-03 |
| 1336314764 | Robert Alan Fuller Jr. | Internal Medicine | Lahey Hospital and Medical Center, 41 Mall Road, Burlington, MA 01805-0001 | 2008-04-27 |
| 1356545727 | Robert Edward Fuller | Physical Therapist | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2007-06-12 |
| 1609998459 | Robert Fulton Fuller | Counselor | 1021 W La Cadena Dr, Riverside, CA 92501-1413 | 2007-04-04 |
| Street Address |
7211 NW 83RD ST STE 207D |
| City | KANSAS CITY |
| State | MO |
| Zip Code | 64152-6022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669025573 | Kayla S Jones | Behavior Technician | 63301 Nw Kelly Dr Ste A, Parkville, MO 64152 | 2019-07-19 |
| 1386191401 | Branson Lyle Billings | Dentist | 8600 Tom Watson Pkwy., Ste. 101, Parkville, MO 64152 | 2016-09-07 |
| 1467908467 | Abigail Stanley | Dietitian, Registered | 6185 Jefferson Avenue, Parkville, MO 64152 | 2016-08-30 |
| 1568874477 | Latoya R Walker | Counselor | 8341 Nw Mace Rd Ste 115, Kansas City, MO 64152 | 2014-05-27 |
| 1386088284 | Stacey Chestnut-watson | Counselor | 8341 Nw Mace Rd Ste 120, Kansas City, MO 64152 | 2013-04-22 |
| 1093069049 | Rhonda Joyce Weimer | Counselor | 160 A West 12th Street, Parkville, MO 64152 | 2012-10-30 |
| 1902182892 | Kelly Dawn Siebert | Pharmacist | 3645 Frederick Blvd, St. Joseph, MO 64152 | 2011-10-24 |
| 1922301563 | Casey Chiropractic LLC | Chiropractor | 8303 N. Congress Ave, Kansas City, MO 64152 | 2010-12-20 |
| 1093910994 | Jennifer A. Sutch | Occupational Therapist | 8400 Nw 62nd.st., Parkville, MO 64152 | 2007-06-19 |
| 1154483972 | Karla Elaine Woodring Fredericks | Counselor | 171 English Landing Drive, Suite 220, Parkville, MO 64152 | 2006-12-15 |
| Find all providers in zip 64152 | ||||
| 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 |
|---|---|---|---|---|
| 1043819642 | Ashley Chanele Ball | Massage Therapist | 959 W 42nd St Apt 201, Kansas City, MO 64111-4058 | 2020-10-23 |
| 1982201471 | Kendra Wright | Massage Therapist | 115 W 99th Ter Apt 206, Kansas City, MO 64114-4330 | 2020-10-07 |
| 1295342848 | Blake Russell Henderson | Massage Therapist | 515 W 75th St, Kansas City, MO 64114-1512 | 2020-09-28 |
| 1073120622 | Britnee N Merritt | Massage Therapist | 6715 Walrond Ave, Kansas City, MO 64132-3047 | 2020-09-28 |
| 1871100446 | Simeon Marie Neely | Massage Therapist | 4010 Washington St Ste 205, Kansas City, MO 64111-2625 | 2020-09-28 |
| 1275146805 | Rachel E Fracassa | Massage Therapist | 8125 E Gregory Blvd, Kansas City, MO 64133-6243 | 2020-08-24 |
| 1215561121 | Healing Hands Massage Dba Total Bliss Massage & Float Therapy | Massage Therapist | 9770 N Ash Ave, Kansas City, MO 64157-9742 | 2020-02-29 |
| 1679118087 | Kendra Jeanne Grimes | Massage Therapist | 7000 Nw Prairie View Rd Ste 130, Kansas City, MO 64151-3808 | 2019-11-08 |
| 1952944555 | Jevae Chrishaun Collins | Massage Therapist | 12013 E 47th St, Kansas City, MO 64133-2517 | 2019-10-26 |
| 1386101681 | Tynesia Davis | Massage Therapist | 8250 N Booth Ave, Kansas City, MO 64158-7201 | 2019-02-23 |
| Find all providers in KANSAS CITY | ||||
| City | KANSAS CITY |
| Zip Code | 64152 |
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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.