BRISTOL AUBURN WITTE (NPI# 1861031510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861031510 |
| Entity Type | Individual |
| Full Name | BRISTOL AUBURN WITTE |
| Credential | LMT, CCH |
| Practice Address |
3215 N Anthony Blvd Ste D Fort Wayne IN 46805-2259 |
| Mailing Address |
6457 Flutter Rd Fort Wayne IN 46835-9720 |
| Practice Telephone | 2607042323 |
| Mailing Telephone | 2607042323 |
| Enumeration Date | 2019-12-29 |
| Last Update Date | 2019-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT21806580 | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3215 N ANTHONY BLVD STE D |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-2259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| 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 |
|---|---|---|---|---|
| 1629677604 | Dameta Diane Williams | Massage Therapist | 3525 Lake Ave, Fort Wayne, IN 46805-5599 | 2020-10-21 |
| 1386284487 | Jessica Wright | Massage Therapist | 1230 Ruston Pass Ste B, Fort Wayne, IN 46825-1572 | 2020-01-07 |
| 1942862024 | Nikya Lowry | Massage Therapist | 6014 Brandy Chase Cv, Fort Wayne, IN 46815-7601 | 2019-06-28 |
| 1154985224 | Shelley Ann Vogelgesang | Massage Therapist | 347 Airport North Office Park, Fort Wayne, IN 46825-6703 | 2019-04-24 |
| 1245796093 | Jonquil Jones | Massage Therapist | 2430 Lake Ave, Fort Wayne, IN 46805-5406 | 2019-02-18 |
| 1598250144 | Altermease Gleason | Massage Therapist | 3406 Thames Drive, Fort Wayne, IN 46815 | 2018-06-26 |
| 1982063582 | Bonnie May Barlow | Massage Therapist | 3634 New Vision Dr, Fort Wayne, IN 46845-1706 | 2016-02-11 |
| 1851775209 | Stephanie Florin | Massage Therapist | 5111 N Bend Dr, Fort Wayne, IN 46804-1753 | 2015-07-15 |
| 1588066914 | Sara Matteucci | Massage Therapist | 3102 Mallard Cove Ln, Fort Wayne, IN 46804-2882 | 2014-09-17 |
| 1265833255 | Back In Balance Massage and Wellness LLC | Massage Therapist | 10340 Coldwater Rd, Fort Wayne, IN 46825-2033 | 2014-09-09 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on BRISTOL AUBURN WITTE.
| 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.