DEONDRE LEWIS (NPI# 1780173740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780173740 |
| Entity Type | Individual |
| Full Name | DEONDRE LEWIS |
| Credential | LMT |
| Practice Address |
4028 S Howell Ave Milwaukee WI 53207-4408 |
| Practice Telephone | 4145597992 |
| Mailing Telephone | 4145597992 |
| Enumeration Date | 2018-05-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 14492 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4028 S HOWELL AVE |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53207-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578108262 | Infinity Massage and Bodywork | Massage Therapist | 4028 S Howell Ave, Milwaukee, WI 53207-4408 | 2019-11-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304117 | Diane Wisch | Technician | 3602 S. 4th, Mil, WI 53207 | 2019-09-05 |
| 1811384464 | Megan O Bedolla | Emergency Medicine | 2338 E Ohio Ave, Milwaukee, WI 53207 | 2015-04-21 |
| 1255677563 | Jon Arthur Toppen | Counselor | 2637 S Fulton St, Milwaukee, WI 53207 | 2012-12-14 |
| 1720316730 | Paula Maria Ortega Flores | Massage Therapist | 2121 South Kinnickinnic Ave, Suite 3, Milwaukee, WI 53207 | 2009-12-02 |
| 1306087127 | Theron Mills | Counselor | 3073 S. Chase Ave., Suite 326, Milwaukee, WI 53207 | 2009-03-09 |
| 1841438769 | Counseling & Transition Center Inc | Clinic/Center | 3073 S. Chase Ave, Suite 326, Milwaukee, WI 53207 | 2009-01-30 |
| 1679727812 | Well-rounded, LLC | Clinic/Center | 2455 S. Howell Ave., Milwaukee, WI 53207 | 2008-11-14 |
| 1316154024 | Christian T. Harteau | Student in an Organized Health Care Education/Training Program | 3174 S Howell Ave, Milwaukee, WI 53207 | 2007-05-16 |
| 1316008303 | Thomas Fisher | Clinical Neuropsychologist | 2419 S. Lenox Street, Milwaukee, WI 53207 | 2006-12-13 |
| 1750470811 | David Alan Duter | Technician, Other | Uscg Sector Lake Michigan/hs Div, 2420 S. Lincoln Memorial Dr., Milwaukee, WI 53207 | 2006-10-12 |
| Find all providers in zip 53207 | ||||
| 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 |
|---|---|---|---|---|
| 1114526068 | Berevon Tayshawn Wyatt | Massage Therapist | 3510 N Oakland Ave Ste 206, Milwaukee, WI 53211-2746 | 2020-10-21 |
| 1003439134 | Roberto Lorenzana | Massage Therapist | 515 W Lincoln Ave, Milwaukee, WI 53207-1133 | 2020-05-23 |
| 1568016426 | Scott M Feist | Massage Therapist | 945 N 12th St Fl 4, Milwaukee, WI 53233-1305 | 2019-07-30 |
| 1992261408 | Amy Lynn Porath | Massage Therapist | 2970 S Delaware Ave, Milwaukee, WI 53207-2562 | 2019-02-20 |
| 1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
| 1497161095 | Melissa Young | Massage Therapist | 4359 S Howell Ave, Suite 203, Milwaukee, WI 53207-5056 | 2014-07-03 |
| 1780027128 | Aquillas Lashonda Scott | Massage Therapist | 1916 W Melvina St, Milwaukee, WI 53206-2464 | 2013-04-16 |
| 1740523968 | Jeanne Goggins Zautner | Massage Therapist | 3457 S Burrell St, Milwaukee, WI 53207-3345 | 2013-04-06 |
| 1720316730 | Paula Maria Ortega Flores | Massage Therapist | 2121 South Kinnickinnic Ave, Suite 3, Milwaukee, WI 53207 | 2009-12-02 |
| 1114533478 | Rebecca Ann Biskup | Massage Therapist | 1020 N 12th St, Milwaukee, WI 53233-1308 | 2020-09-21 |
| Find all providers in MILWAUKEE | ||||
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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.