=====================================================
General NPI Number Information
=====================================================
NPI Number | 1558122069
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | THURNETTA WOODALL LMT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/22/2024
-----------------------------------------------------
Last Update Date | 12/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 426 ALLEGHENY RIVER BLVD
-----------------------------------------------------
City | OAKMONT
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 15139-1725
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 412-828-4383
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4986 TALBERT DR
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43232-5256
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-746-9433
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 33.026688
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------