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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT.0011121 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
151 E CLUBHOUSE DR |
City | NEW CASTLE |
State | CO |
Zip Code | 81647-9424 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619403631 | Mindwise Corporation | Marriage & Family Therapist | 386 W Main Street, Suite 105, New Castle, CO 81647 | 2017-05-11 |
1760788822 | Mary Elizabeth Bowles | Marriage & Family Therapist | 386 W. Main St., Suite #302, New Castle, CO 81647 | 2011-02-07 |
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 |
1497130645 | Lauren Roper | Dentist | 500 W Main St, New Castle, CO 81647 | 2015-07-29 |
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 |
Find all providers in zip 81647 |
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 |
---|---|---|---|---|
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 |
Find all providers in NEW CASTLE |
City | NEW CASTLE |
Zip Code | 81647 |
Please comment or provide details below to improve the information on MISS SONNI LEE JACKSON.
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.