MR. MICHAEL LEE SPACKMAN (NPI# 1770712978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770712978 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL LEE SPACKMAN |
| Credential | NMT, CMT |
| Practice Address |
3112 O St Suite #1 Sacramento CA 95816-6542 |
| Practice Telephone | 9162814284 |
| Mailing Telephone | 9162814284 |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2009-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386887032 | Michael Bryon Spackman | Physical Medicine & Rehabilitation | 360 E Montvue Dr, Suite 100, Meridian, ID 83642 | 2009-04-10 |
| Street Address |
3112 O ST SUITE #1 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-6542 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427026194 | Deborah Robin Winograd | Psychologist | 3112 O St, Suite 4, Sacramento, CA 95816-6542 | 2006-03-09 |
| 1386015717 | Gregory Benedict Gisla | Psychologist | 3112 O St, Suite 13, Sacramento, CA 95816-6542 | 2015-10-12 |
| 1780747444 | Catherine Angela O'brien | Marriage & Family Therapist | 3112 O St, Suite 8, Sacramento, CA 95816-6542 | 2006-12-17 |
| 1598772444 | Susan Renae Yuen | Marriage & Family Therapist | 3112 O St, Ste #3, Sacramento, CA 95816-6542 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| 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 |
|---|---|---|---|---|
| 1649886789 | Latosha Trenet Rivera | Massage Therapist | 3471 Wildwind Ct, Sacramento, CA 95827-3064 | 2020-09-22 |
| 1538774823 | Amber Marie Murray | Massage Therapist | 3400 Cottage Way Ste F2, Sacramento, CA 95825-1474 | 2020-09-13 |
| 1376158089 | Desiree Williams | Massage Therapist | 2341 Northrop Ave Apt 210d, Sacramento, CA 95825-7215 | 2020-09-09 |
| 1043824121 | Clara Matthews | Massage Therapist | 8448 Amrita Ct, Sacramento, CA 95828-6620 | 2020-09-04 |
| 1649884453 | Xavier Couvson | Massage Therapist | 2051 Arena Blvd Ste 100, Sacramento, CA 95834-2311 | 2020-08-31 |
| 1932713732 | Danielle Dunn | Massage Therapist | 2920 Del Paso Blvd Apt 10, Sacramento, CA 95815-1439 | 2020-08-31 |
| 1710591532 | Natasha Henderson | Massage Therapist | 7371 Power Inn Rd Apt 213, Sacramento, CA 95828-3545 | 2020-08-31 |
| 1174081236 | Paul Brown | Massage Therapist | 717 K St Ste 306, Sacramento, CA 95814-3477 | 2019-03-07 |
| 1497229652 | Tiffany Bedolla | Massage Therapist | 717 K St Ste 514, Sacramento, CA 95814-3408 | 2019-01-21 |
| 1922574904 | Sam Dyer Stewart | Massage Therapist | 2784 Freeport Blvd, Sacramento, CA 95818-3053 | 2018-10-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on MR. MICHAEL LEE SPACKMAN.
| 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.