KRISTINE MARIE LOOMIS (NPI# 1942807268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942807268 |
| Entity Type | Individual |
| Full Name | KRISTINE MARIE LOOMIS |
| Credential | LMT |
| Practice Address |
41 Crestview Dr Watertown CT 06795-1814 |
| Practice Telephone | 2036952970 |
| Mailing Telephone | 2036952970 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 8409 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
41 CRESTVIEW DR |
| City | WATERTOWN |
| State | CT |
| Zip Code | 06795-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396232187 | Watertown Wellness Center LLC | Community/Behavioral Health | 116 Georgetown Drive, Watertown, CT 06795 | 2018-04-17 |
| 1134569833 | Kara Marie Iacoviello | Occupational Therapist | 18 Wilder St, Watertown, CT 06795 | 2013-06-27 |
| 1821348871 | Pamela D Siemon | Social Worker | 51 Depot St Ste 207, Watertown, CT 06795 | 2012-09-18 |
| 1073891222 | Alexander Pantelis Tinios | Student in an Organized Health Care Education/Training Program | 163 Townline Hwy, Watertown, CT 06795 | 2011-07-21 |
| 1083919757 | Connecticut Music Therapy Services, LLC | Music Therapist | 51 Depot St., Suite 214, Watertown, CT 06795 | 2011-01-11 |
| 1083841456 | Erica Lee Opromollo | Social Worker | 35 Scott Ave, Watertown, CT 06795 | 2009-06-12 |
| 1033306816 | Stone Chiropractic LLC | Chiropractor | 51 Depot Square, Watertown, CT 06795 | 2007-09-26 |
| 1174640205 | Sheila Whitman | Counselor | 686 Main Street, Watertown, CT 06795 | 2007-03-23 |
| 1225146848 | Ronald Joseph Dandrea | Internal Medicine | 51 Depot Street, Watertown, CT 06795 | 2006-08-25 |
| 1417344607 | Peter Anthony Ferrante | Podiatrist | 777 Echo Lake Rd Unit F, Watertown, CT 06795 | 2015-04-25 |
| Find all providers in zip 06795 | ||||
| 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 |
|---|---|---|---|---|
| 1598378952 | Patric Burke | Massage Therapist | 409 Territorial Road, Watertown, MN 55388 | 2020-08-26 |
| 1033757844 | Laura A Stamboly | Massage Therapist | 93 Public Sq, Watertown, NY 13601-2626 | 2019-12-12 |
| 1548735020 | Patrick R Neal | Massage Therapist | 424a Vanduzee St, Watertown, NY 13601-1163 | 2018-10-10 |
| 1083169825 | Meltdown Day Spa | Massage Therapist | 105 11th St Ne, Watertown, SD 57201-2852 | 2016-08-22 |
| 1295125573 | Angela Marie Weldon | Massage Therapist | 165 Polk St, Watertown, NY 13601-2763 | 2015-01-26 |
| 1881003689 | Holly Norton | Massage Therapist | 135 French St, Watertown, CT 06795-2922 | 2014-08-05 |
| 1215534821 | Clark Albert Heady | Massage Therapist | 165 Mechanic St, Watertown, NY 13601-2677 | 2020-10-06 |
| 1245866318 | Morgan Sutherland | Massage Therapist | 173 Mount Auburn St, Watertown, MA 02472-4005 | 2020-03-20 |
| 1609416247 | Kathie Thayer Connor | Massage Therapist | 93 Public Sq, Watertown, NY 13601-2626 | 2020-01-12 |
| 1760021125 | Michelle Grant | Massage Therapist | 8 5th St Se, Watertown, SD 57201-3713 | 2020-01-03 |
| Find all providers in WATERTOWN | ||||
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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.