CHANIQUE SELVYN (NPI# 1972102804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972102804 |
| Entity Type | Individual |
| Full Name | CHANIQUE SELVYN |
| Practice Address |
395 Quentin Ave Nw Winter Haven FL 33881-5207 |
| Practice Telephone | 8632489971 |
| Mailing Telephone | 8632489971 |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA91670 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
395 QUENTIN AVE NW |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-5207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| 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 |
|---|---|---|---|---|
| 1447541305 | Dawn M Mccoy | Massage Therapist | 545 Avenue I Se, Winter Haven, FL 33880-3778 | 2011-04-27 |
| 1487950606 | William D Clark | Massage Therapist | 1160 Lucerne Loop Rd Ne, Winter Haven, FL 33881-9681 | 2011-02-04 |
| 1023322393 | Tamara Von Waldner | Massage Therapist | 150 Avenue F Nw, Winter Haven, FL 33881-4133 | 2010-07-29 |
| 1235440975 | Rebecca Carpenter Bryan | Massage Therapist | 1305 6th St Se, Winter Haven, FL 33880-4556 | 2010-06-28 |
| 1922336403 | Shirley Rose Barrett | Massage Therapist | 218 E Wahneta 9th Street, Winter Haven, FL 33880 | 2009-11-23 |
| 1538398193 | Amy J Justus | Massage Therapist | 363 3rd St Nw, Old Towne Square, Winter Haven, FL 33881-4001 | 2009-07-04 |
| 1891944005 | Seth R Boone | Massage Therapist | 34 3rd St Sw, Winter Haven, FL 33880-2905 | 2008-09-11 |
| 1609034735 | April D Spann | Massage Therapist | 1020 Robin Ln, Winter Haven, FL 33884-2589 | 2008-05-27 |
| 1447440888 | Carey L Cornett | Massage Therapist | 170 2nd St Sw, Winter Haven, FL 33880-2903 | 2007-08-01 |
| 1841403771 | Amanda Lovett Thompson | Massage Therapist | 1132 1st St S, Winter Haven, FL 33880-3903 | 2007-05-07 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
Please comment or provide details below to improve the information on CHANIQUE SELVYN.
| 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.