FOSTERING WELLNESS MASSAGE THERAPY (NPI# 1780160200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780160200 |
Entity Type | Organization |
Organization Name | FOSTERING WELLNESS MASSAGE THERAPY |
Practice Address |
3108 Tyre Neck Rd Ste D Portsmouth VA 23703-4532 |
Mailing Address |
2736 Meadow Dr W Chesapeake VA 23321-4132 |
Practice Telephone | 7573235139 |
Mailing Telephone | 7573235139 |
Enumeration Date | 2018-07-17 |
Last Update Date | 2018-07-17 |
Authorized Official Name | KELLY M FOSTER (OWNER/LICENSED MASSAGE THERAPIST) |
Authorized Official Telephone | 7573235139 |
Authorized Official Credential | LMT, MMP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 0019006819 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3108 TYRE NECK RD STE D |
City | PORTSMOUTH |
State | VA |
Zip Code | 23703-4532 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
1750616298 | Stanley P. Tompkins | Dentist | 5830 Trucker Street, Portsmouth, VA 23703 | 2009-10-15 |
Find all providers in zip 23703 |
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 |
---|---|---|---|---|
1386241255 | Amy-mae Court | Massage Therapist | 875 Greenland Rd Unit A6, Portsmouth, NH 03801-4161 | 2020-10-05 |
1730712142 | Lee Pope | Massage Therapist | 3100 Carney St, Portsmouth, VA 23703-4909 | 2020-02-14 |
1194365627 | Pheobe Mills | Massage Therapist | 3022 Tyre Neck Rd, Portsmouth, VA 23703-4527 | 2020-01-13 |
1558908582 | Pure Royal Finesse LLC | Massage Therapist | 4051 Cedar Ln, Portsmouth, VA 23703-2003 | 2019-12-10 |
1619512514 | Shawnte Latryce Peterson | Massage Therapist | 5807 Portsmouth Blvd, Suite13, Portsmouth, VA 23701-2370 | 2019-11-14 |
1801454061 | Jodi Scholes | Massage Therapist | 110 Brewery Ln Ste 402, Portsmouth, NH 03801-4890 | 2019-06-03 |
1669036059 | Kimberly Love | Massage Therapist | 646 Douglas Ave, Portsmouth, VA 23707-1906 | 2019-05-01 |
1124510730 | Francesca N Ciani | Massage Therapist | 1 Raynes Ave Ste 204, Portsmouth, NH 03801-3769 | 2018-05-31 |
1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
1770018103 | Linda Rowan Wilson | Massage Therapist | 628 Surry St, Portsmouth, VA 23707-1327 | 2017-04-24 |
Find all providers in PORTSMOUTH |
City | PORTSMOUTH |
Zip Code | 23703 |
Please comment or provide details below to improve the information on FOSTERING WELLNESS MASSAGE THERAPY.
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.