MR. CHARLES GEORGE KING JR. (NPI# 1700425949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700425949 |
| Entity Type | Individual |
| Full Name | MR. CHARLES GEORGE KING JR. |
| Credential | LMT |
| Practice Address |
6223 N 20th Dr Phoenix AZ 85015-1516 |
| Mailing Address |
3905 N 7th Ave Unit 34965 Phoenix AZ 85013-3368 |
| Practice Telephone | 4805182090 |
| Practice Fax Number | 8555182090 |
| Mailing Telephone | 4805182090 |
| Mailing Fax Number | 8555182090 |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-01-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT-09329 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MASSAGE LICENSE | MT-09329 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639727241 | Charles Michael King | Counselor | 1470 S 430 W, Orem, UT 84058-7313 | 2019-08-27 |
| 1255797965 | Charles King | Counselor | 3746 Government St Ste 8, Alexandria, LA 71302-3252 | 2016-01-11 |
| 1053658799 | Charles King | Pharmacist | 2067 North Atlantic Ave, Cocoa Beach, FL 32931 | 2013-01-15 |
| 1265728653 | Charles Ross King | Family Medicine | 2015 Jackson St., Anderson, IN 46016-4339 | 2011-06-23 |
| 1003110685 | Charles Harding King | Internal Medicine | 5550 Vanture Drive, Cuyahoga County Board of Health, Parma, OH 44130-9315 | 2010-12-22 |
| 1073813291 | Charles Russell King | Prosthetist | 52 Marion St, Cumberland, MD 21502-2548 | 2010-10-22 |
| 1013146182 | Charles W. King | Physical Therapist | 19 Malavear Ct, Pacifica, CA 94044-4249 | 2009-07-09 |
| 1316163074 | Charles J King | Dentist | 2534 Willow Street Pike N, Willow Street, PA 17584-9585 | 2007-04-18 |
| 1982767372 | Charles Phillip King Jr. | Dentist | 803 Brushy Creek Rd, Easley, SC 29642-2203 | 2006-12-18 |
| 1194894105 | Charles Clinton King Jr. | Dentist | 915 W Highland Ave, Albany, GA 31701-2735 | 2006-11-06 |
| Street Address |
6223 N 20TH DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-1516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610310 | Leticia Karina Maria Lelli | Student in an Organized Health Care Education/Training Program | 4760 N. 20th Ave, Phx, AZ 85015 | 2020-08-18 |
| 1083100564 | Leen Qutachi | Dentist | 1703 W Bethany Home Rd Ste C1, Phoenix, AZ 85015 | 2018-07-08 |
| 1851820146 | Jeff Biever | Spec/Tech, Cardiovascular | 1517 West Lamar Rd, Phoenix, AZ 85015 | 2017-06-08 |
| 1407230964 | Sean Noonan | Optometrist | 1703 W Bethany Home Rd Ste C3, Phoenix, AZ 85015 | 2015-07-15 |
| 1295141620 | Yehia Saleh | Pharmacist | 4040 North 19th Avenue, Cvs Pharmacy, Phoenix, AZ 85015 | 2014-07-07 |
| 1295160380 | Journey To Prosperity | Custodial Care Facility | 1623 W Denton, Phoenix, AZ 85015 | 2013-09-07 |
| 1124372099 | Facing The Future With Hope | Counselor | 5656 N 17th Ave #c7, Phoenix, AZ 85015 | 2012-10-31 |
| 1700133998 | Srujal Vinubhai Patel | Internal Medicine | 6036 N 19th Ave Ste 312, Phoenix, AZ 85015 | 2012-08-07 |
| 1689933947 | Modern Dental Professionals - Arizona PC | Dentist | 2131 E Camelback Road, Ste 102, Phoenix, AZ 85015 | 2012-05-08 |
| 1528360674 | Fatima Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 2025 W Indian School Road, #705, Phoenix, AZ 85015 | 2010-11-23 |
| Find all providers in zip 85015 | ||||
| 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 |
|---|---|---|---|---|
| 1073113221 | Erin Clark | Massage Therapist | 9014 W Cambridge Ave, Phoenix, AZ 85037-3430 | 2020-10-27 |
| 1205435823 | Angelica Mitchum | Massage Therapist | 15815 S Lakewood Pkwy W, 2051, Phoenix, AZ 85048-5850 | 2020-10-23 |
| 1598362618 | Zeke Michael Mcnelly | Massage Therapist | 1417 E Colter St Apt 15, Phoenix, AZ 85014-3052 | 2020-10-01 |
| 1386250520 | Jeanne Thom | Massage Therapist | 21150 N Tatum Blvd Apt 1045, Phoenix, AZ 85050-4296 | 2020-09-22 |
| 1649880253 | Dwayne Pepper | Massage Therapist | 1337 E Goldenrod St, Phoenix, AZ 85048-6231 | 2020-08-07 |
| 1942818828 | Erika Mendoza | Massage Therapist | 7546 W Forest Grove Ave, Phoenix, AZ 85043-1656 | 2020-07-16 |
| 1164042602 | Rhonda L Evans | Massage Therapist | 3124 W Salter Dr, Phoenix, AZ 85027-2250 | 2020-04-24 |
| 1700416427 | David Solis | Massage Therapist | 1614 W Whispering Wind Dr Ste 5, Phoenix, AZ 85085-0809 | 2020-01-22 |
| 1679119457 | Faith Vandyne | Massage Therapist | 722 E Sack Dr, Phoenix, AZ 85024-8232 | 2019-11-27 |
| 1487298576 | Kirsten Koolhoven | Massage Therapist | 7328 W Cordes Rd, Phoenix, AZ 85043-7261 | 2019-10-31 |
| Find all providers in PHOENIX | ||||
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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.