DUC (DOUGLAS) TRAN (NPI# 1972123636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972123636 |
Entity Type | Individual |
Full Name | DUC (DOUGLAS) TRAN |
Practice Address |
1615 E Centerton Blvd Centerton AR 72719-9208 |
Mailing Address |
116 Nw Apple Blossom Bentonville AR 72712-8424 |
Practice Telephone | 4799361668 |
Mailing Telephone | 4799361668 |
Enumeration Date | 2020-04-23 |
Last Update Date | 2020-04-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 8424 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1615 E CENTERTON BLVD |
City | CENTERTON |
State | AR |
Zip Code | 72719-9208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669086724 | Epic Smiles Pllc | Dentist | 310 E Centerton Blvd, Centerton, AR 72719 | 2020-09-04 |
1134733876 | Bradley R Crossfield Dds Pllc | Clinic/Center | 880 East Centerton Blvd, Suite A, Centerton, AR 72719 | 2020-09-01 |
1861967291 | Apexnetwork Arkansas, LLC | Physical Therapist | 1128 E. Centerton Blvd, Centerton, AR 72719 | 2018-10-12 |
1568975761 | Reeves Medical Associates, Pllc | Internal Medicine | 1415 E Centerton Blvd, Centerton, AR 72719 | 2017-11-09 |
1164948246 | Jodie A Bone | Behavioral Analyst | 450 Walker Street, Centerton, AR 72719 | 2017-08-21 |
1225581606 | Andrew Jason Phipps | Dentist | 807 West Centerton Blvd, Centerton, AR 72719 | 2016-08-02 |
1922429158 | Chelsea Kinney | Speech-Language Pathologist | 427 Centerton Blvd, Centerton, AR 72719 | 2013-12-13 |
1467707166 | Stacey Kirk | Case Manager/Care Coordinator | 250 East Centerton Blvd., Centerton, AR 72719 | 2012-07-18 |
1295994457 | Tracie Leanne Downey | Occupational Therapist | 675 Brimwood Street, Centerton, AR 72719 | 2008-06-03 |
1124228382 | Carolyn R Reeves | Internal Medicine | 1415 E Centeron Blvd, Centeron, AR 72719 | 2007-07-24 |
Find all providers in zip 72719 |
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 |
---|---|---|---|---|
1366043903 | Stephanie Jane Brackeen | Massage Therapist | 95 Bassingham Dr, Bella Vista, AR 72715-1526 | 2020-11-02 |
1881293975 | Jeana Corleen Anderson | Massage Therapist | 2621 W Main St Ste 9, Russellville, AR 72801-2551 | 2020-10-20 |
1205442506 | Emerald Asher | Massage Therapist | 14522 Us 71, Fort Smith, AR 72916 | 2020-09-22 |
1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
1427661412 | Brittany Nicole Young | Massage Therapist | 9 Panther Rd, Conway, AR 72032-9709 | 2020-08-28 |
1114542651 | Sharon Elaine Gray | Massage Therapist | 7617 W 41st St, Little Rock, AR 72204-7547 | 2020-06-10 |
1336762152 | Jenna Leigh Pratt | Massage Therapist | 425 W Capitol Ave Ste 237, Little Rock, AR 72201-3440 | 2020-05-27 |
1104448885 | Shacreya Swanigan | Massage Therapist | 4 Shackleford Plz Ste 205, Little Rock, AR 72211-1844 | 2020-05-15 |
1659904514 | Kyoko Provencio | Massage Therapist | 136 Gregory Pl, Jacksonville, AR 72076-3212 | 2020-02-19 |
1194365718 | Rebekah Jo Clark | Massage Therapist | 361 Beatrice Dr, Eureka Springs, AR 72632-9250 | 2020-01-11 |
Find all providers with the same taxonomy |
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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.