MS. PHYLLIS ANN STOUTENBERG (NPI# 1821478132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821478132 |
| Entity Type | Individual |
| Full Name | MS. PHYLLIS ANN STOUTENBERG |
| Credential | MASSAGE THERAPIST |
| Practice Address |
105 E. Second St. Suite 2 Davison MI 48423 |
| Mailing Address |
9419 Mountain Ash Ct Davison MI 48423 |
| Practice Telephone | 8106534277 |
| Mailing Telephone | 8106534277 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2015-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7501003502 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
105 E. SECOND ST. SUITE 2 |
| City | DAVISON |
| State | MI |
| Zip Code | 48423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598258105 | Davison Medical Practice Plc | Internal Medicine | 1260 N Irish Rd Ste B, Davison, MI 48423 | 2018-06-08 |
| 1760911036 | Davison Care N Assist | Meals | 1044 North Irish, Davison, MI 48423 | 2017-06-08 |
| 1518499839 | Angela Dunscombe | Assistant Behavior Analyst | 370 Carol Mary Ln, Davison, MI 48423 | 2017-03-28 |
| 1932572849 | Terria Kurtz | Social Worker | 501 Davison Rd, Davison, MI 48423 | 2015-11-02 |
| 1821465139 | Teresa Marshall | Registered Nurse | 832 Groten Drive, Davison, MI 48423 | 2015-08-24 |
| 1760869713 | Aimee Vakula-rollins, D.d.s., Pllc | Dentist | 1044 N. Irish Rd, Suite B, Davison, MI 48423 | 2015-04-29 |
| 1841681459 | Pamela Linn | Counselor | 501 W. Flint St Suite A, Davison, MI 48423 | 2015-02-18 |
| 1740684232 | Dustin Doren | Physical Therapist | 1410 Pondview Dr, Davison, MI 48423 | 2014-10-14 |
| 1982032132 | Sadie Adams | Speech-Language Pathologist | 9100 Lapeer Road Suite C, Davison, MI 48423 | 2013-10-25 |
| 1740452911 | Jennifer Yvonne Collette | Radiologic Technologist | 2011 Hillsdale Drive, Davison, MI 48423 | 2008-03-28 |
| Find all providers in zip 48423 | ||||
| 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 |
|---|---|---|---|---|
| 1598242505 | Jaime K Caldwell | Massage Therapist | 105 E 2nd St Ste 2, Davison, MI 48423-1467 | 2018-07-23 |
| 1417462102 | Rachel Jean Pattinson | Massage Therapist | 3269 S Vassar Rd, Davison, MI 48423-2426 | 2017-12-04 |
| 1669985453 | Deanna Martin | Massage Therapist | 1441 Wexford Dr, Davison, MI 48423-8341 | 2017-11-15 |
| 1124562418 | Holly Bearse | Massage Therapist | 7445 Whippoorwill Ln, Davison, MI 48423-3178 | 2016-12-06 |
| 1871954313 | Teisha Labrecque | Massage Therapist | 401 W Flint St, Davison, MI 48423-1003 | 2016-03-11 |
| 1134445349 | Cheryl Christine Waybrant | Massage Therapist | 2032 Old Hickory Blvd, Davison, MI 48423-2030 | 2010-04-13 |
| 1578118360 | Jessica Rose Slade | Massage Therapist | 124 S State Rd, Davison, MI 48423-1347 | 2019-08-07 |
| 1306325253 | Restorative Massage Therapy | Massage Therapist | 105 E 2nd St Ste 2, Davison, MI 48423-1467 | 2018-08-11 |
| 1972089936 | Debra Davis | Massage Therapist | 124 S State Rd, Davison, MI 48423-1347 | 2018-07-12 |
| 1104314905 | Krista Shelton | Massage Therapist | 10004 E Lippincott Blvd, Davison, MI 48423-9013 | 2018-04-26 |
| Find all providers in DAVISON | ||||
Please comment or provide details below to improve the information on MS. PHYLLIS ANN STOUTENBERG.
| 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.