MISS KIMBERLY NICOLE MABRY (NPI# 1912093139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912093139 |
| Entity Type | Individual |
| Full Name | MISS KIMBERLY NICOLE MABRY |
| Credential | LMT |
| Practice Address |
1105 E Harris Ave Greenville IL 62246-2221 |
| Mailing Address |
Po Box 32 Greenville IL 62246-0032 |
| Practice Telephone | 6186644600 |
| Mailing Telephone | 6189188151 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1105 E HARRIS AVE |
| City | GREENVILLE |
| State | IL |
| Zip Code | 62246-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366861155 | Grpc Wellness Clinic Sc | Chiropractor | 1105 E Harris Ave, Greenville, IL 62246-2221 | 2014-04-09 |
| 1629197066 | Greenville Rehab & Pain Clinic Sc | Physical Therapist | 1105 E Harris Ave, Greenville, IL 62246-2221 | 2007-03-28 |
| 1215027438 | Matthew Ray Chenault | Chiropractor | 1105 E Harris Ave, Greenville, IL 62246-2221 | 2006-10-16 |
| 1669568051 | Larry Dean Bruno | Chiropractor | 1105 E Harris Ave, Greenville, IL 62246-2221 | 2006-10-05 |
| 1427144799 | Tammy Sue Tulacro | Physical Therapist | 1105 E Harris Ave, Greenville, IL 62246-2221 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
| 1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
| 1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
| 1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
| 1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| Find all providers in zip 62246 | ||||
| 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 |
|---|---|---|---|---|
| 1063024362 | Brittany Tyler Mccoy | Massage Therapist | 1130b Woodruff Rd Ste 302, Greenville, SC 29607-4118 | 2020-08-18 |
| 1174171110 | Hannah Michelle Farmer | Massage Therapist | 31 Memorial Medical Dr # 107, Greenville, SC 29605-4407 | 2019-09-03 |
| 1710474895 | Keyarnna Tykira Stokes | Massage Therapist | 204 E Arlington Blvd Ste E, Greenville, NC 27858-5022 | 2018-04-15 |
| 1225557457 | Kelly Irene Watras | Massage Therapist | W6905 Parkview Drive, Greenville, WI 54942 | 2017-09-19 |
| 1790110781 | Stacy Charlene Babb | Massage Therapist | 3795 East North Suite 14, Greenville, SC 29617-3304 | 2013-09-09 |
| 1114368487 | Barbara Martin | Massage Therapist | 9115 Wesley St, #1, Greenville, TX 75402-3827 | 2013-07-15 |
| 1285074831 | Ingrid Kohls Harris | Massage Therapist | 207 W. Antrim Drive, Greenville, SC 29607 | 2013-06-27 |
| 1922340819 | Joanne Marie Morrissey | Massage Therapist | 7 Austin Ave Ste 3b, Greenville, RI 02828-1491 | 2013-03-19 |
| 1548511264 | Eleice Braswell | Massage Therapist | 4324 Nw Us 221, Greenville, FL 32331-4521 | 2012-09-20 |
| 1033418124 | Jonathan D. Yuhasz | Massage Therapist | 2724 Wade Hampton Blvd, Ste D, Greenville, SC 29615-1110 | 2011-03-15 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 62246 |
Please comment or provide details below to improve the information on MISS KIMBERLY NICOLE MABRY.
| 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.