BETHANIE DAWN FRESHOUR (NPI# 1851895957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851895957 |
Entity Type | Individual |
Full Name | BETHANIE DAWN FRESHOUR |
Credential | LMT |
Practice Address |
4360 W Thunderbird Rd Glendale AZ 85306-5027 |
Mailing Address |
8432 W Willow Ave Peoria AZ 85381-4864 |
Practice Telephone | 4805896996 |
Mailing Telephone | 4805896996 |
Enumeration Date | 2018-03-22 |
Last Update Date | 2018-03-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT-11768 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
4360 W THUNDERBIRD RD |
City | GLENDALE |
State | AZ |
Zip Code | 85306-5027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548784648 | Michelle Weissgerber | Registered Nurse | 6640 W Maui Ln, Glendale, AZ 85306 | 2017-07-31 |
1427502947 | Az Interact LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6055 West Caribe Lane, Glendale, AZ 85306 | 2016-08-12 |
1649667635 | Richard Moreno Jr. | Physical Therapy Assistant | 6509 W Acapulco Ln, Glendale, AZ 85306 | 2015-04-17 |
1568863819 | Alternative Living for You | Assisted Living Facility | 5328 W. Tierra Buena Ln., Glendale, AZ 85306 | 2014-09-05 |
1649614561 | Matthew Brownell | Internal Medicine | 5555 W, Thunderbird, Banner Thunderbird Medical Center, Glendale, AZ 85306 | 2013-04-22 |
1366736266 | Miles Christenson | Speech-Language Pathologist | 14627 N 60th Ave, Glendale, AZ 85306 | 2011-06-08 |
1285928721 | Nathalie Tania Petein-alamshaw | Internal Medicine | 5555 W Thunderbird Road, Glendale, AZ 85306 | 2011-06-01 |
1134351869 | William J. Duff | Counselor | 5701 W. Talavi Boulevard, Suite 180, Phoenix, AZ 85306 | 2009-08-13 |
1538321369 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5422 W. Thunderbird, Suite 8, Glendale, AZ 85306 | 2008-07-02 |
1316109143 | Cardiovascular Consultants, Ltd | Non-Pharmacy Dispensing Site | 5620 W. Thunderbird, Suite D3, Glendale, AZ 85306 | 2008-07-02 |
Find all providers in zip 85306 |
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 |
---|---|---|---|---|
1124628920 | Angelina Hull | Massage Therapist | 4318 W Kimberly Way, Glendale, AZ 85308-4411 | 2020-10-29 |
1881292035 | Chrysta Beyer | Massage Therapist | 117 W Good Hope Rd, Glendale, WI 53217-3857 | 2020-10-10 |
1407461403 | Netthip Kunkaew | Massage Therapist | 920 Avonoak Ter, Glendale, CA 91206-1509 | 2020-09-15 |
1932694213 | Michelle Anderson | Massage Therapist | 3460 Ocean View Blvd Ste B, Glendale, CA 91208-3306 | 2018-06-28 |
1174020440 | Kelly Marie Kolb | Massage Therapist | 6615 W Happy Valley Rd Ste B108, Glendale, AZ 85310-2608 | 2018-04-12 |
1184126062 | Mary A Bocchicchio | Massage Therapist | 5156 W Olive Ave # 404, Glendale, AZ 85302-4205 | 2018-03-06 |
1508384520 | Amanda K Ong | Massage Therapist | 5334 W Northern Ave Ste 325, Glendale, AZ 85301-1441 | 2017-08-30 |
1619490802 | Danielle Marie Hicks | Massage Therapist | 20325 N 51st Ave Ste 108, Glendale, AZ 85308-5665 | 2017-07-20 |
1780036285 | Donn Belrichard | Massage Therapist | 6610 N 47th Ave Ste 5, Glendale, AZ 85301-4163 | 2016-07-07 |
1265899975 | Gary Watson | Massage Therapist | 11034 N 55th Ave, Glendale, AZ 85304-3934 | 2016-01-26 |
Find all providers in GLENDALE |
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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.