MS. PAMELA J PECK (NPI# 1104150051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104150051 |
| Entity Type | Individual |
| Full Name | MS. PAMELA J PECK |
| Credential | CMT |
| Practice Address |
5350 40th Ave S Minneapolis MN 55417-2226 |
| Practice Telephone | 6127228270 |
| Mailing Telephone | 6127228270 |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2009-10-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659307635 | Pamela Nan Peck | Psychologist | 37 Elm St, Wellesley, MA 02481-3106 | 2006-06-23 |
| 1639506306 | Pamela Ann Peck | Licensed Practical Nurse | 3111 Winton Road South, Rochester, NY 14623 | 2013-09-26 |
| 1851315246 | Pamela J Peck | Nurse Practitioner | 380 Plainfield St, Springfield, MA 01199-0001 | 2006-07-27 |
| Street Address |
5350 40TH AVE S |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55417-2226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444791 | Patrick Reilly Steck | Dentist | 4948 S 34th Ave, Minneapolis, MN 55417 | 2020-07-21 |
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1699240580 | Angela Cox | Social Worker | Vamc Minneapolis, 1 Veterans Drive (1k), Minneapolis, MN 55417 | 2018-10-08 |
| 1407353519 | Kirsten Kathleen Rydberg | Registered Nurse | One Veteran Drive, Minneapolis, MN 55417 | 2018-04-06 |
| 1902306038 | Ksa Psychological Services, LLC | Psychologist | 5603 Chicago Ave., Minneapolis, MN 55417 | 2018-02-15 |
| 1770025710 | Elizabeth Kate Adam | Registered Nurse | 613 E Minnehaha Pkwy, Minneapolis, MN 55417 | 2016-11-08 |
| 1831579754 | John Rossakis | Occupational Therapist | 5708 42nd Ave S, Minneapolis, MN 55417 | 2015-06-05 |
| 1205214566 | Karin Shelstad | Specialist/Technologist | 5501 10th Av S, Minneapolis, MN 55417 | 2015-05-07 |
| 1750712733 | Debra Sand | Massage Therapist | 2750 E 50th Street, Minneapolis, MN 55417 | 2013-12-02 |
| 1669764221 | Michael Alan Newman | Internal Medicine | One Veterans Drive (111-0), Minneapolis Veterans Affairs Medical Center, Minneapolis, MN 55417 | 2011-05-13 |
| Find all providers in zip 55417 | ||||
| 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 |
|---|---|---|---|---|
| 1861009185 | Miesha Nicole Lewis | Massage Therapist | 3759 Thomas Ave N, Minneapolis, MN 55412-1840 | 2020-09-30 |
| 1588271928 | Cyarra Monique Swanson | Massage Therapist | 2708 Blaisdell Ave Apt B, Minneapolis, MN 55408-1524 | 2020-09-29 |
| 1902411648 | Dakota Lee Hain | Massage Therapist | 1121 Jackson St Ne Ste 119, Minneapolis, MN 55413-1597 | 2020-09-10 |
| 1881225142 | Mighty Massage Inc | Massage Therapist | 2514 Polk St Ne # 2, Minneapolis, MN 55418-3730 | 2020-01-27 |
| 1568006005 | Alex Guillien | Massage Therapist | 34 13th Ave Ne Ste 109, Minneapolis, MN 55413-1007 | 2019-10-28 |
| 1093356883 | Montae Bailey | Massage Therapist | 1324 Quincy St Ne, Minneapolis, MN 55413-1541 | 2019-10-02 |
| 1689227845 | Reka Laeger-hagemeister | Massage Therapist | 4325 Nicollet Ave # 2, Minneapolis, MN 55409-2032 | 2019-07-17 |
| 1104488774 | Kari Jo Haugen | Massage Therapist | 3708 E 34th St, Minneapolis, MN 55406-2702 | 2019-07-03 |
| 1710472535 | Zulema L Leyva | Massage Therapist | 34 13th Ave Ne Ste B002c, Minneapolis, MN 55413-1091 | 2018-06-25 |
| 1881188597 | Lydia Joy Allison | Massage Therapist | 2933 29th Ave. S., Minneapolis, MN 55406 | 2018-06-15 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55417 |
Please comment or provide details below to improve the information on MS. PAMELA J PECK.
| 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.