ERIC TILLMAN (NPI# 1639537905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639537905 |
| Entity Type | Individual |
| Full Name | ERIC TILLMAN |
| Practice Address |
8210 Flora Ave Saint Louis MO 63114-6202 |
| Practice Telephone | 3145498503 |
| Mailing Telephone | 3145498503 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |
| Gender Code | M |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568814960 | Eric L Tillman | Counselor | 1844 Younger Ave, Pittsburgh, PA 15216-2941 | 2016-07-08 |
| Street Address |
8210 FLORA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63114-6202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053926964 | Deann Porter | Prosthetist | 8743 Mavis Place, St Louis, MO 63114 | 2020-09-09 |
| 1255971438 | Hughes In Home Services | Home Health | 9319 Midland Ste B, St Louis, MO 63114 | 2020-01-15 |
| 1740714724 | Catherine Kagotho | Nurse Practitioner | 9915 Broadmoor Dr, Apt 4, Overland, MO 63114 | 2017-04-17 |
| 1073051371 | Ruth & Naomi Adult Day Services, Inc | Clinic/Center | 9443-9445 Lackland Road, St. Louis, MO 63114 | 2017-02-07 |
| 1992103691 | Lisa Abernathy | Social Worker | 9705 Tennyson Court, Saint Louis, MO 63114 | 2014-12-11 |
| 1356626808 | William J Norbury | Pharmacist | 8000 St. Charles Rock Road, Walgreens Pharmacy 4825, St.louis, MO 63114 | 2011-10-17 |
| 1770719700 | Total Renal Care Inc | Clinic/Center | 9030 Saint Charles Rock Rd, Saint Louis, MO 63114 | 2009-06-04 |
| 1710126792 | Risingabove Independent Supported Living | Assisted Living Facility | 2330 # 2 Woodson Road, Overland, MO 63114 | 2009-02-13 |
| 1427215789 | Wnf Medical, LLC | Durable Medical Equipment & Medical Supplies | 1908-2000 Innerhelt Business Center Dr., Suite 1968, Overland, MO 63114 | 2008-05-22 |
| 1891838744 | Easter Seals Midwest | Day Training, Developmentally Disabled Services | 2215 Lackland Road, Overland, MO 63114 | 2007-02-14 |
| Find all providers in zip 63114 | ||||
| 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 |
|---|---|---|---|---|
| 1346848991 | James Allen Brooks | Massage Therapist | 6436 Chippewa St, Saint Louis, MO 63109-2106 | 2020-10-15 |
| 1083220354 | Jennifer Nahmensen | Massage Therapist | 5433 Cherryview Ln, Saint Louis, MO 63128-3729 | 2020-09-21 |
| 1700492147 | Kelly L Reilly | Massage Therapist | 555 N Harrison Ave Apt 2w, Saint Louis, MO 63122-3969 | 2020-09-21 |
| 1205441862 | Blanche Haley | Massage Therapist | 3664 Montana St Fl 1, Saint Louis, MO 63116-4514 | 2020-09-10 |
| 1306450820 | Ana Wooldridge | Massage Therapist | 7241 Saint Andrews Pl, Saint Louis, MO 63121-5028 | 2020-09-02 |
| 1124652391 | Bobby James Wright | Massage Therapist | 1722 Olive St Ste 212, Saint Louis, MO 63103-1700 | 2020-02-26 |
| 1083253520 | Shaka D Mccormick | Massage Therapist | 2804 Osage St, Saint Louis, MO 63118-4537 | 2020-01-01 |
| 1073025763 | Cyretha Ann Staton | Massage Therapist | 2110 Armitage Dr, Saint Louis, MO 63136-6105 | 2017-11-02 |
| 1891211017 | Jerrad Lee Benton | Massage Therapist | 2430 Tellicherry Dr, Saint Louis, MO 63125-3108 | 2017-08-18 |
| 1538605761 | Jamal Carter | Massage Therapist | 12127 Bellefontaine Rd, Suite 16, Saint Louis, MO 63138-1916 | 2017-01-11 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63114 |
Please comment or provide details below to improve the information on ERIC TILLMAN.
| 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.