Lori Jean Clissold

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA 64886 Issued in FL

Practice address

10033 Dr Martin Luther King Jr St N Ste 300
St Petersburg, FL 33716-3830

Phone

(727) 498-8898

Fax

(727) 800-6959

NPI assigned

Apr 3, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396828800000",
    "number": "1184042483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 W PLATT ST STE 24",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062292",
            "telephone_number": "727-498-8898",
            "fax_number": "727-800-6959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10033 DR MARTIN LUTHER KING JR ST N STE 300",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163830",
            "telephone_number": "727-498-8898",
            "fax_number": "727-800-6959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLISSOLD",
        "first_name": "LORI",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 64886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kende N Clemons, PHARM.D.
• David Clendenin
• Christian Michael Cleveland-Peck, CRNA
• Russell J Clifford, P.T.
• Clinic Amit LLC
• Matthew Clockel
• Cloud Med LLC
• Clover Emergency Physicians LLC
• Whitney L. Clowney, PA-C
• Corinne Clynes, APRN

• Massage Therapist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.