SUSAN FLORENCE MIX (NPI# 1689826422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689826422 |
| Entity Type | Individual |
| Full Name | SUSAN FLORENCE MIX |
| Credential | LMT |
| Practice Address |
48 Main St Sturbridge MA 01566-1284 |
| Practice Telephone | 5086125545 |
| Practice Fax Number | 5083477576 |
| Mailing Telephone | 5086125545 |
| Mailing Fax Number | 5083477576 |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 3703 | MA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467647115 | Susan M. Mix | Nurse Practitioner | 760 Golf View Drive, Suite #200, Medford, OR 97504 | 2007-09-06 |
| 1801925417 | Susan Gail Mix | Counselor | 1323 Yakima Ave, Tacoma, WA 98405-4457 | 2007-03-02 |
| Street Address |
48 MAIN ST |
| City | STURBRIDGE |
| State | MA |
| Zip Code | 01566-1284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396043071 | Southbridge Interventional Pain,inc | Anesthesiology | 48 Main St, Sturbridge, MA 01566-1284 | 2011-03-04 |
| 1245342971 | Catherine Jean Magdis | Physical Therapist | 48 Main St, Sturbridge, MA 01566-1284 | 2006-08-31 |
| 1326054677 | David Houle | Physical Therapist | 48 Main St, Sturbridge, MA 01566-1284 | 2006-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609368919 | Martha Charley | Nurse Practitioner | Southbridge Pain Clinic, 48 Main Street Suite 6, Sturbridge, MA 01566 | 2018-06-01 |
| 1013407097 | Jolynn Klier | Psychologist | 1 Library Ln N, Sturbridge, MA 01566 | 2018-05-15 |
| 1841703295 | Brandon A Campo | Behavioral Analyst | 54 Main St Unit 0, Sturbridge, MA 01566 | 2017-11-08 |
| 1023407145 | Village Family Chiropractic, LLC | Chiropractor | 58 Main Street, Sturbridge, MA 01566 | 2015-01-13 |
| 1013330166 | Debra Kizilcan | Massage Therapist | 426 Main Street C/o Alternatives for Health, Sturbridge, MA 01566 | 2014-01-27 |
| 1124453659 | Gennady Gelman | Family Medicine | 198 Charlton Rd, Sturbridge, MA 01566 | 2013-09-03 |
| 1710123492 | Heritage Home Health Care, LLC | Home Health | 559 Main Street, Suite 103, Sturbridge, MA 01566 | 2008-12-30 |
| 1225176373 | William Brian Digregorio | Chiropractor | 64 Main St Rt 131, Sturbridge, MA 01566 | 2007-02-01 |
| 1437247889 | Larry A Johnson Dds PC | Dentist | 69 Hall Road, Sturbridge, MA 01566 | 2006-10-11 |
| 1639281090 | Mohamed Hashi Abib | Family Medicine | 128 Main St Ste 4, Sturbridge, MA 01566 | 2006-08-31 |
| Find all providers in zip 01566 | ||||
| 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 |
|---|---|---|---|---|
| 1013330166 | Debra Kizilcan | Massage Therapist | 426 Main Street C/o Alternatives for Health, Sturbridge, MA 01566 | 2014-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891736 | Ashish Karintikal | Massage Therapist | 118 Emmons St Apt 2, Franklin, MA 02038-2187 | 2020-11-05 |
| 1720689839 | Nichole Aline Cross | Massage Therapist | 45 Main St Ste C1, Wareham, MA 02571-2152 | 2020-11-04 |
| 1750981742 | Vincent Tieu | Massage Therapist | 34 Kenilworth St, Malden, MA 02148-2823 | 2020-10-28 |
| 1417556937 | Heidi Gean Eggerling | Massage Therapist | 200 Main St Ste 205, Falmouth, MA 02540-2779 | 2020-10-26 |
| 1730788324 | Debra Merle Baker | Massage Therapist | 10 Holworthy Pl, Cambridge, MA 02138-4510 | 2020-10-23 |
| 1851990865 | Andria Goddard | Massage Therapist | 570 Kelley Blvd., Unit 2b, North Attleboro, MA 02760 | 2020-10-21 |
| 1396344248 | Norine Lopes | Massage Therapist | 102 Green St Apt 1, Brockton, MA 02301-7214 | 2020-10-21 |
| 1225636533 | Suleidy Bautista | Massage Therapist | 580 Salem St Apt 36, Wakefield, MA 01880-1274 | 2020-10-09 |
| 1962009795 | Adam Riggio | Massage Therapist | 100 Merrimack St Ste 305, Lowell, MA 01852-1706 | 2020-10-05 |
| 1033726260 | Cristina Crawford | Massage Therapist | 18 Great Hollow, Truro, MA 02666-1035 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | STURBRIDGE |
| Zip Code | 01566 |
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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.