MISS SONNI LEE JACKSON


Address: 151 E Clubhouse Dr, New Castle, CO 81647-9424
Phone: 9706187537

MISS SONNI LEE JACKSON (NPI# 1811466469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811466469
Entity Type Individual
Full Name MISS SONNI LEE JACKSON
Credential LMT
Practice Address 151 E Clubhouse Dr
New Castle
CO 81647-9424
Mailing Address 171 Ute Way
Silt
CO 81652-9580
Practice Telephone 9706187537
Mailing Telephone 9706187537
Enumeration Date 2018-11-13
Last Update Date 2018-11-13
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MT.0011121 CO Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 151 E CLUBHOUSE DR
City NEW CASTLE
State CO
Zip Code 81647-9424

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NPI Name Taxonomy Address Enumeration
1619403631 Mindwise Corporation Marriage & Family Therapist 386 W Main Street, Suite 105, New Castle, CO 81647 2017-05-11
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1699701888 Dillon Companies LLC Durable Medical Equipment & Medical Supplies 850 Castle Valley Blvd, New Castle, CO 81647 2006-06-23
1730614744 New Castle Dental, Pllc Dentist 500 W. Main Street, New Castle, CO 81647 2017-04-27
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1548718737 Intermountain Monitoring LLC Specialist/Technologist, Other 107 Spur Dr, New Castle, CO 81647-8518 2016-09-15
1487192282 Palisade Neuro Associates Physiological Laboratory 107 Spur Dr, New Castle, CO 81647-8518 2017-02-01
1821551664 Elias Transportation Services, LLC Non-emergency Medical Transport (VAN) 406 Palmetto Dr, New Castle, CO 81647-9436 2019-04-09
1972876357 Barbara Ann Gugelman Occupational Therapy Assistant 412 Alder Way, New Castle, CO 81647-9438 2012-02-16
1942644851 Stephen Warden Pharmacist 850 Castle Valley Blvd, New Castle, CO 81647-9441 2013-04-22
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1730788951 Sharanda Mason Massage Therapist 110 Chesterfield Dr, New Castle, DE 19720-1225 2020-10-19
1639666506 Medsport Massage, LLC Massage Therapist 39 River Road, Suite 1, New Castle, ME 04553-0074 2018-04-17
1508376252 Vernita Roberts Massage Therapist 11 Parkway Cir Ste 104, New Castle, DE 19720-4077 2017-10-09
1609305051 Susan Lydia Brown Massage Therapist 25 Jay Drive, New Castle, DE 19720 2017-06-08
1184008880 Samantha Noel Jaggers Massage Therapist 525 Lagrange Rd, New Castle, KY 40050-6743 2015-07-13
1235405457 Nicole Ann George Massage Therapist 3118 Boughter Dr, New Castle, PA 16101-7240 2012-04-02
1639477052 Magdalena Marie Cohen Massage Therapist 5 Auburn Dr, New Castle, DE 19720-2305 2011-03-09
1548578107 Michelle R Hanna Massage Therapist 916 Boroline St, New Castle, PA 16101-1902 2010-09-16
1730314410 One To One Rehabilitation and Aquitics Massage Therapist 4092 Wampum Rd, New Castle, PA 16102-3460 2009-05-24
1083823975 Cynthia A Wetzel Massage Therapist 234 E Hazelcroft Ave, New Castle, PA 16105-2176 2007-05-21
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Competitor

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City NEW CASTLE
Zip Code 81647

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Dataset Information

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.

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