Doris Childress in Benton - Massage Therapist
Doris Childress - NPI 1891814133
Doris Childress is a Massage Therapist in Benton, Arkansas. Doris Childress practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Doris Childress is 1891814133. The last update date is 2007-07-08.
Doris Childress's current location address is 5913 Riviera Dr, Benton, Arkansas. You can contact this provider via phone number 5016532155. The mailing address for Doris Childress is 5913 Riviera Dr, Benton, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Doris Childress |
|---|---|
| Address | 5913 Riviera Dr, Benton, Arkansas |
| Phone Number | 5016532155 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1891814133 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5913 Riviera Dr |
|---|---|
| City | Benton |
| State | Arkansas (AR) |
| Post Code | 720156659 |
| Phone Number | 5016532155 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Massage Therapist |
|---|---|
| Taxonomy | 225700000X |
| Licence No | 4252 |
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Definition: 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. |
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What is the unique 10-digit identification code assigned to Doris Childress by the Centers for Medicare & Medicaid Services?
The Doris Childress has been issued the NPI (National Provider Identifier) 1891814133, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Doris Childress?
The Doris Childress is situated at 5913 Riviera Dr, in the city of Benton, state of AR, with the zip code 720156659.
What is Doris Childress's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Doris Childress is Massage Therapist, and the corresponding taxonomy classification code for this specialized field is 225700000X.
On what date did the Doris Childress receive its 1891814133 assignment from the Centers for Medicare & Medicaid Services?
The Doris Childress was assigned its 1891814133 by the Centers for Medicare & Medicaid Services on 2007-03-28.
As of what date were the details pertaining to Doris Childress last refreshed?
The information related to the Doris Childress, including its address, specialty, and other relevant details, was last updated on 2007-07-08.