KEITH HALL (NPI# 1649651282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649651282 |
| Entity Type | Individual |
| Full Name | KEITH HALL |
| Practice Address |
1126 Lake Knoll Dr Nw 1126 Lake Knoll Dr. Lilburn GA 30047-8716 |
| Practice Telephone | 6789148642 |
| Mailing Telephone | 6789148642 |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2015-06-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT 001807 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306381496 | Keith Hall | Counselor | 403 Kennie Rd, Shreveport, LA 71106-6903 | 2016-12-27 |
| 1942865340 | Keith Hall | Registered Nurse | 1901 S Jones Blvd, Las Vegas, NV 89146-1260 | 2019-05-01 |
| 1306378401 | Keith Hall | Counselor | 1420 Willow Pass Rd, 200, Concord, CA 94520-5823 | 2017-03-29 |
| 1154510840 | Keith Bernard Hall | Case Manager/Care Coordinator | 11740 E 21st St, Tulsa, OK 74129-1820 | 2007-10-18 |
| 1932163177 | Keith Brian Hall | Orthopaedic Surgery | 911 Bypass Rd, 6th Floor Clinic Building, Pikeville, KY 41501-1689 | 2006-04-14 |
| Street Address |
1126 LAKE KNOLL DR NW 1126 LAKE KNOLL DR. |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-8716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| 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 |
|---|---|---|---|---|
| 1598364630 | Amy Yang | Massage Therapist | 4505 Bradstone Trce Nw, Lilburn, GA 30047-8019 | 2020-10-20 |
| 1457966954 | Nahbila Sonia Thames | Massage Therapist | 4765 Hwy 78 Ste C, Lilburn, GA 30047-4691 | 2020-09-11 |
| 1831700467 | Amazing Wellness Way LLC | Massage Therapist | 4765 Stone Mountain Hwy Ste C, Lilburn, GA 30047-4691 | 2020-08-17 |
| 1306281159 | Amanda Jean Moretz Starr | Massage Therapist | 4595 Canda Dr Nw, Lilburn, GA 30047-3567 | 2013-05-07 |
| 1699326702 | Aurea Aragon | Massage Therapist | 5335 Five Forks Trickum Rd Sw, Lilburn, GA 30047-6753 | 2019-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346169 | Debra Davis | Massage Therapist | 702 Baldwin Dr Ste A, Albany, GA 31707-4027 | 2020-11-06 |
| 1780285197 | Tyrone Roy | Massage Therapist | 869 King Rd, Stone Mountain, GA 30088-2203 | 2020-11-03 |
| 1295336758 | Nadia Elizabeth Jones | Massage Therapist | 300 S Hamilton St, Dalton, GA 30720-8215 | 2020-11-02 |
| 1164022968 | Gregory R Bell Jr. | Massage Therapist | 106 W Henry St # B, Savannah, GA 31401-6721 | 2020-10-30 |
| 1770183527 | Alexander Jones | Massage Therapist | 626 Dekalb Ave Se Apt 1445, Atlanta, GA 30312-5409 | 2020-10-30 |
| 1134728124 | Quaniessa Rochelle Jenkins | Massage Therapist | 449 Oak Dr # 2, Atlanta, GA 30354-1228 | 2020-10-20 |
| 1073112405 | Tavia Rena Bell | Massage Therapist | 2512 Grayton Loop, Villa Rica, GA 30180-6702 | 2020-10-17 |
| 1063010437 | Miranda Browne | Massage Therapist | 335 Roberts Rd, Athens, GA 30606-1227 | 2020-10-16 |
| 1710585567 | Lailyn Pineda Burkett | Massage Therapist | 3550 Ga Highway 20 South, Conyers, GA 30013-2877 | 2020-10-14 |
| 1598363434 | Amanda J Griggs | Massage Therapist | 54 Wolfscratch Village, Jasper, GA 30143 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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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.