KATHLEEN MILETIC (NPI# 1669842480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669842480 |
| Entity Type | Individual |
| Full Name | KATHLEEN MILETIC |
| Credential | LMT |
| Practice Address |
203 N Edgewood Rd Mount Vernon OH 43050-2824 |
| Practice Telephone | 7652155044 |
| Mailing Telephone | 7652155044 |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 33.020715 L-M | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | AETNA | 2LGP506600 | 01 |
| Street Address |
203 N EDGEWOOD RD |
| City | MOUNT VERNON |
| State | OH |
| Zip Code | 43050-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
| 1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
| 1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
| 1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
| 1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
| 1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
| 1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| Find all providers in zip 43050 | ||||
| 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 |
|---|---|---|---|---|
| 1770197972 | Shaquanna Luker | Massage Therapist | 334 S 9th Ave, Mount Vernon, NY 10550-4008 | 2020-09-04 |
| 1982218681 | Bogdan Stoia | Massage Therapist | 505 E Lincoln Ave Apt 510, Mount Vernon, NY 10552-3514 | 2020-09-01 |
| 1427558881 | Susan Anne Frericks | Massage Therapist | 2609 N 30th St, Mount Vernon, WA 98273-8635 | 2018-02-12 |
| 1558876722 | Jessica Snelson | Massage Therapist | 1825 Riverside Dr Ste A, Mount Vernon, WA 98273-5466 | 2017-12-08 |
| 1609387844 | Kerri Jesse | Massage Therapist | 210 N 23rd St, Mount Vernon, WA 98273 | 2017-10-16 |
| 1235672882 | Terra Marie Forkner | Massage Therapist | 1202 S. 2nd Street, Suite E, Mount Vernon, WA 98273 | 2016-11-30 |
| 1629438809 | Alaina Crowe | Massage Therapist | 312 Pine St, Mount Vernon, WA 98273-3852 | 2016-03-01 |
| 1326427600 | Regina Maier | Massage Therapist | 4324 Joyce Ln, Mount Vernon, IN 47620-9624 | 2015-05-20 |
| 1346634722 | Ben Johnston | Massage Therapist | 300 Virgil Ave, Mount Vernon, IA 52314-9569 | 2015-03-24 |
| 1720478761 | Susan Ferris | Massage Therapist | 402 Coshocton Ave, Mount Vernon, OH 43050-2634 | 2015-01-29 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 43050 |
Please comment or provide details below to improve the information on KATHLEEN MILETIC.
| 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.