MS. RAEVYN N REICHLE (NPI# 1710520002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710520002 |
Entity Type | Individual |
Full Name | MS. RAEVYN N REICHLE |
Other Name | MS. RAEVYN N REEVES |
Credential | LMT |
Practice Address |
208 N Fredonia St Longview TX 75601-7209 |
Mailing Address |
614 E Main St Ore City TX 75683-2515 |
Practice Telephone | 9032301911 |
Practice Fax Number | 9032301900 |
Mailing Telephone | 9037201571 |
Enumeration Date | 2019-10-19 |
Last Update Date | 2019-10-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT127156 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
208 N FREDONIA ST |
City | LONGVIEW |
State | TX |
Zip Code | 75601-7209 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265075576 | Lanett Sue Moser | Massage Therapist | 208 N Fredonia St, Longview, TX 75601-7209 | 2019-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992351076 | Stebbins Hospice LLC | Hospice Care, Community Based | 600-602 E. Whaley, Longview, TX 75601 | 2019-08-14 |
1720437692 | J.l. Miguez, Inc. | Hearing Aid Equipment | 822 N 4th Street, Longview, TX 75601 | 2016-06-10 |
1801244090 | Voyage Medical Solutions, LLC | Durable Medical Equipment & Medical Supplies | 111 W Tyler St, Longview, TX 75601 | 2016-05-27 |
1134504426 | Siobain Kay Rogers | Nurse Practitioner | 703 E Marshall Ave Ste 4003, Longview, TX 75601 | 2015-07-28 |
1669882882 | Snehal Shrivastava | Internal Medicine | 1402 N 4th St Ste 300, Longview, TX 75601 | 2014-04-28 |
1679824221 | Jennifer Ruth Williams | Occupational Therapist | 110 E Tyler St, Longview, TX 75601 | 2012-09-23 |
1548525603 | Candice Renee Ramos | Social Worker | 950 N Sixth St, Longview, TX 75601 | 2012-07-05 |
1497082747 | Jarett S Harkness | Pharmacist | 511 E. Marshall Avenue, Longview, TX 75601 | 2009-11-06 |
1407086333 | Udeme Ekpenyong | Pediatrics | 818 N. 4th St., Longview, TX 75601 | 2009-07-27 |
1386823359 | Assisted Living Concepts Inc | Assisted Living Facility | 2104 Alpine Road, Longview, TX 75601 | 2007-10-26 |
Find all providers in zip 75601 |
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 |
---|---|---|---|---|
1023581063 | Krista Pohl | Massage Therapist | 1324 Vandercook Way, Longview, WA 98632-3902 | 2019-01-02 |
1326514126 | Margaret Jan Duszik | Massage Therapist | 915 W Loop 281 Ste 107-12, Longview, TX 75604-2935 | 2018-10-18 |
1639618655 | Codreaming LLC | Massage Therapist | 414 E Loop 281 Ste 20, Longview, TX 75605-7931 | 2017-02-23 |
1962828392 | Charles Seamus Crane | Massage Therapist | 1157 3rd Ave Ste 145, Longview, WA 98632-6004 | 2014-03-10 |
1730500745 | Shawn Shumway | Massage Therapist | 803 Vandercook Way Ste 12, Longview, WA 98632-4039 | 2013-12-17 |
1396007886 | Stephanie N Scott | Massage Therapist | 513 Ruthlynn Dr, Longview, TX 75605-3725 | 2012-06-12 |
1346529278 | John Howard Helaire | Massage Therapist | 804 Coleman Dr, Longview, TX 75605-3106 | 2011-08-09 |
1881980035 | Laurie Ann Lake | Massage Therapist | 1600 Springdale St, Longview, TX 75604-2635 | 2011-06-27 |
1952602914 | Jennifer R Wilson | Massage Therapist | 3394 N Us Highway 259, Longview, TX 75605-5086 | 2010-11-08 |
1033420773 | Jessica Kathleen Lynds | Massage Therapist | 213 Mcadams Rd E, Longview, WA 98632-9714 | 2010-06-28 |
Find all providers in LONGVIEW |
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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.