MS. SUZIE ANN CLARK (NPI# 1881913119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881913119 |
Entity Type | Individual |
Full Name | MS. SUZIE ANN CLARK |
Other Name | MRS. SUZIE ANN CLARK-RILEY |
Credential | L.M.T. |
Practice Address |
340 Nw 1st Ave High Springs FL 32643-0100 |
Mailing Address |
Po Box 2999 High Springs FL 32655-2999 |
Practice Telephone | 3864548889 |
Mailing Telephone | 3864548889 |
Enumeration Date | 2010-05-26 |
Last Update Date | 2010-05-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MA 26973 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
340 NW 1ST AVE |
City | HIGH SPRINGS |
State | FL |
Zip Code | 32643-0100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003375726 | Bahman Sahranavard Sr. | Counselor | Rania Main St., Rania, SOLAYMAIA 32643 | 2019-03-13 |
1396224036 | Roszina Williams | Nurse's Aide | 18998 Nw 253 Street, High Springs, FL 32643 | 2018-08-13 |
1760700637 | High Springs Pediatrics LLC | Pediatrics | 210 Nw 1st Avenue, High Springs, FL 32643 | 2010-05-17 |
1306094800 | Cox & Hanley Dmd Plc | Dentist | 23321 N. W. Cr 236, High Springs, FL 32643 | 2008-09-09 |
1013119940 | Gene H. Petteway | Pharmacist | 1080 N W Santa Fe Blvd, High Sprngs, FL 32643 | 2007-06-04 |
1538381363 | Ian C Dennis | Dentist | 60 South Main Street, High Springs, FL 32643 | 2007-05-02 |
1831231000 | Craig Gardner | Massage Therapist | 220 Nw 4th St, High Springs, FL 32643 | 2007-02-13 |
1689722779 | Nancy L Linkous | Massage Therapist | 425 Ne Santa Fe Blvd., High Springs, FL 32643 | 2007-01-08 |
1356362651 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 20303 N Us Hwy 441, High Springs, FL 32643 | 2006-07-21 |
1417901125 | Sheryl Marie Heath | Nurse Practitioner | 9513 Nw Sr 45, High Springs, FL 32643 | 2006-05-19 |
Find all providers in zip 32643 |
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 |
---|---|---|---|---|
1841850245 | Kellene A Harknett | Massage Therapist | 18467 Nw Us Highway 441, High Springs, FL 32643-8795 | 2019-06-18 |
1831231000 | Craig Gardner | Massage Therapist | 220 Nw 4th St, High Springs, FL 32643 | 2007-02-13 |
1689722779 | Nancy L Linkous | Massage Therapist | 425 Ne Santa Fe Blvd., High Springs, FL 32643 | 2007-01-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811598204 | Zenus Annzarie Goodyard | Massage Therapist | 3076 Gulf Breeze Pkwy, Gulf Breeze, FL 32563-3246 | 2020-11-03 |
1558962886 | Felicia Warner | Massage Therapist | 2750 Cypress Trace Cir Apt 2620, Naples, FL 34119-8077 | 2020-11-03 |
1497355184 | Ashley Feehan | Massage Therapist | 32806 Lister Rd, Dade City, FL 33523-6413 | 2020-10-30 |
1932709904 | Franchesca Bairam | Massage Therapist | 206 37th Ave N, Saint Petersburg, FL 33704-1416 | 2020-10-29 |
1679173538 | Benson Tong | Massage Therapist | 3530 1st Ave N Ste 206, Saint Petersburg, FL 33713-8442 | 2020-10-29 |
1801496989 | Alivia L Mckamey | Massage Therapist | 533 Nw 28th St, Gainesville, FL 32607-2512 | 2020-10-28 |
1992305189 | Julie Accorti | Massage Therapist | 36 Memorial Pkwy Sw, Fort Walton Beach, FL 32548-6512 | 2020-10-28 |
1487254785 | Rigoberto Rosa | Massage Therapist | 51 Ne 24th St, Miami, FL 33137-5385 | 2020-10-27 |
1982204392 | Cindy Figh | Massage Therapist | 11408 Coventry Grove Cir, Lithia, FL 33547-4929 | 2020-10-27 |
1639778152 | Megan A Chapman | Massage Therapist | 1504 Ringmore Ct, Dover, FL 33527-4960 | 2020-10-26 |
Find all providers with the same taxonomy |
City | HIGH SPRINGS |
Zip Code | 32643 |
Please comment or provide details below to improve the information on MS. SUZIE ANN CLARK.
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.