MRS. CRYSTAL COTHERN (NPI# 1730355264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730355264 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL COTHERN |
| Credential | LMT |
| Practice Address |
113 W Robertson St Brandon FL 33511-5111 |
| Practice Telephone | 8136854222 |
| Practice Fax Number | 8136893832 |
| Mailing Telephone | 8136854222 |
| Mailing Fax Number | 8136893832 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA46309 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
113 W ROBERTSON ST |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-5111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932161205 | Kenneth Wayne Trussell | Chiropractor | 113 W Robertson St, Brandon, FL 33511-5111 | 2006-04-04 |
| 1972812865 | Kenneth W Trussell Dc Pa | Clinic/Center | 113 W Robertson St, Brandon, FL 33511-5111 | 2010-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| 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 |
|---|---|---|---|---|
| 1003430265 | Carolyn Mcdaniel | Massage Therapist | 605 W Bloomingdale Ave Ste H, Brandon, FL 33511-7405 | 2020-06-03 |
| 1619531084 | Derek Cumberland | Massage Therapist | 505 Oakleigh Pl, Brandon, MS 39047-6297 | 2019-04-30 |
| 1851779748 | Therapeutic Touch Massage Clinic, LLC | Massage Therapist | 1365 Oakfield Dr, Brandon, FL 33511-4841 | 2015-05-11 |
| 1245668649 | Ladonna S Penny | Massage Therapist | 540 Golden Raintree Pl, Brandon, FL 33510-4318 | 2013-10-22 |
| 1962849075 | Kevin Scott Franklin | Massage Therapist | 207 E Robertson St, D, Brandon, FL 33511-5254 | 2013-05-30 |
| 1538485222 | Paulina Yvette Collins | Massage Therapist | 1333 Coolmont Dr, Brandon, FL 33511-8396 | 2010-04-20 |
| 1215165972 | Gifts of Mother Nature Massage Inc. | Massage Therapist | 209 S Moon Ave, Brandon, FL 33511-5703 | 2009-07-01 |
| 1043460140 | Olivia Deeanna Tash | Massage Therapist | 749 W Lumsden Rd, Brandon, FL 33511-6261 | 2008-09-24 |
| 1306094958 | Jennie Maulden | Massage Therapist | 4112 Maywood Dr, Brandon, FL 33511-7775 | 2008-09-08 |
| 1821246653 | Claudia Andrea Lopez | Massage Therapist | 110 E Bloomingdale Ave, Brandon, FL 33511-8101 | 2008-09-04 |
| Find all providers in BRANDON | ||||
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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.