TERESA JOHNSON (NPI# 1629579644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629579644 |
| Entity Type | Individual |
| Full Name | TERESA JOHNSON |
| Credential | LMT |
| Practice Address |
10502 118th St Davenport IA 52804-9568 |
| Practice Telephone | 5636504934 |
| Mailing Telephone | 5636504934 |
| Enumeration Date | 2018-02-25 |
| Last Update Date | 2018-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 088923 | IA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780291500 | Teresa Michelle Johnson | Counselor | 2850 Virgilina Rd, Roxboro, NC 27574-8226 | 2020-09-25 |
| 1942772033 | Teresa Ann Johnson I | Technician | 1220 Ederle St E, Lehigh Acres, FL 33974-3703 | 2018-12-30 |
| 1194244525 | Teresa Ann Johnson | Counselor | 8853 Greenhaven Dr, Fort Worth, TX 76179-2913 | 2017-09-18 |
| 1295141182 | Teresa Marie Johnson | Social Worker | 15 Lasalle Ave, # 108, Kenmore, NY 14217-2641 | 2014-07-11 |
| 1184037681 | Teresa Anne Johnson | Nurse Practitioner | 105 N Grand St Ste 2, Greenfield, MO 65661-8198 | 2014-06-03 |
| 1366878712 | Teresa A Johnson | Counselor | 1585 Cobbs Creek Lane, Decatur, GA 30032 | 2013-09-17 |
| 1750631057 | Teresa L Johnson | Psychologist | 5 Market St, Suite 3, Portsmouth, NH 03801-3752 | 2012-09-13 |
| 1194072611 | Teresa Johnson | Durable Medical Equipment & Medical Supplies | 103 S Lane St, Blissfield, MI 49228-1207 | 2012-08-14 |
| 1982924569 | Teresa Johnson | Physical Therapist | 6630 Roxburgh Dr Ste 171, Houston, TX 77041-5217 | 2010-06-07 |
| 1811145501 | Teresa Johnson | Physical Therapy Assistant | Rr 1 Box 385b, Monticello, KY 42633-9737 | 2008-09-05 |
| Street Address |
10502 118TH ST |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52804-9568 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265948467 | Tess Nelson | Physical Medicine & Rehabilitation | 2535 Maplecrest Rd Suite 23, Bettendorf, IA 52804 | 2017-12-26 |
| 1124494380 | Erica Lauren Hempel Bucy | Social Worker | 1333 W. Lombard St. Ste C, Davenport, IA 52804 | 2015-08-11 |
| 1477859890 | Kristin L West | Registered Nurse | 1441 W. Centrral Park Ave, Vera French Community Mental Health Center, Davenport, IA 52804 | 2011-02-02 |
| 1679877625 | Linda Marie Crownover-inch | Doula | 1420 W 16th Street, #412, Davenport, IA 52804 | 2011-01-05 |
| 1124169032 | Lawrence R Huber | Dentist | 2305 Jersey Ridge Rd, Davenport, IA 52804 | 2007-02-12 |
| 1669532388 | Providence Therapy Services LLC | Physical Therapist | 21037 Holden Drive, Davenport, IA 52804 | 2006-12-11 |
| 1639183171 | Megan Denise Long | Occupational Therapist | 31037 Holden Dr, Davenport, IA 52804 | 2006-07-28 |
| 1811919772 | Theresa L Schlabach | Occupational Therapist | 21037 Holden Dr, Davenport, IA 52804 | 2006-07-23 |
| 1225097843 | William M Nissen | Psychiatry & Neurology | 1441 W Central Park, Davenport, IA 52804 | 2006-03-22 |
| 1245721851 | Mackenzie J Banwart | Physical Therapist | 1700 N Division St Ste 200, Davenport, IA 52804 | 2018-05-21 |
| Find all providers in zip 52804 | ||||
| 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 |
|---|---|---|---|---|
| 1922612274 | Kimberly Zariya Honaker | Massage Therapist | 398 Madison Drive, Davenport, FL 33837 | 2020-09-03 |
| 1801362751 | Leslie Bateman | Massage Therapist | 500 Iowa St Apt 113, Davenport, IA 52801-1727 | 2018-10-18 |
| 1346751450 | Renee Bischoff | Massage Therapist | 610 Lady Diana Dr, Davenport, FL 33837-7681 | 2017-10-16 |
| 1184165011 | Saulo Solis-rosario | Massage Therapist | 211 Garberia Dr, Davenport, FL 33837-3942 | 2017-03-11 |
| 1023491065 | Dolgorsuren Quinn | Massage Therapist | 528 E 38th St, Davenport, IA 52807-1603 | 2015-07-08 |
| 1891074878 | Larae S. Damschen | Massage Therapist | 100 3rd St Ste 2, Davenport, WA 99122-5008 | 2011-08-09 |
| 1023315793 | Deborah Scanlon | Massage Therapist | 626 Lake Davenport Blvd, Davenport, FL 33897-5432 | 2011-02-16 |
| 1043533201 | Jorge Gonzalez | Massage Therapist | 346 Ashley Loop, Davenport, FL 33837-8820 | 2010-03-02 |
| 1013156785 | Nanette Whitman | Massage Therapist | 203 E Pine St, Davenport, FL 33837-4115 | 2009-02-19 |
| 1598232746 | Dianna Marie Darland | Massage Therapist | 2220 E 53rd St, Davenport, IA 52807-2704 | 2018-10-25 |
| Find all providers in DAVENPORT | ||||
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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.