CORINNE BULLICK (NPI# 1215307806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215307806 |
| Entity Type | Individual |
| Full Name | CORINNE BULLICK |
| Credential | LMT |
| Practice Address |
418 Harris St Juneau AK 99801-1083 |
| Mailing Address |
Po Box 21161 Juneau AK 99802-1161 |
| Practice Telephone | 9073217781 |
| Mailing Telephone | 9073217781 |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2015-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 101366 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
418 HARRIS ST |
| City | JUNEAU |
| State | AK |
| Zip Code | 99801-1083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669752481 | Meredith M Wallis | Registered Nurse | 418 Harris St, Ste. 316, Juneau, AK 99801-1083 | 2011-08-24 |
| 1851760664 | Tracy Leithauser | Massage Therapist | 418 Harris St, #313, Juneau, AK 99801-1083 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225652407 | Juneau Youth Services, Inc. | Community/Behavioral Health | 1600 Renninger St, Juneau, AK 99801 | 2020-06-03 |
| 1316561590 | Juneau Youth Services, Inc. | Community/Behavioral Health | 2901 Riverside Dr, Juneau, AK 99801 | 2020-06-03 |
| 1366066540 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3400 Tongass Blvd, Juneau, AK 99801 | 2020-06-03 |
| 1134743313 | Juneau Youth Services, Inc. | Community/Behavioral Health | 3800 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1235753419 | Juneau Youth Services, Inc. | Community/Behavioral Health | 9001 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-03 |
| 1043834245 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Loop Rd, Juneau, AK 99801 | 2020-06-03 |
| 1295359511 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10801 Black Bear Rd, Juneau, AK 99801 | 2020-06-02 |
| 1700400033 | Juneau Youth Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 10685 Mendenhall Lp Rd, Juneau, AK 99801 | 2020-06-02 |
| 1831733351 | Monalisa Vaolete Lauofo | Counselor | 5594 Aisek Street, Juneau, AK 99801 | 2019-10-29 |
| 1245873033 | Ryan Isadore | Counselor | 1613 Anka Street, Juneau, AK 99801 | 2019-10-24 |
| Find all providers in zip 99801 | ||||
| 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 |
|---|---|---|---|---|
| 1356808018 | Lilian Jane Colombo | Massage Therapist | Valley Chiropractic Clinic, 2203 Jordan Avenue, Juneau, AK 99801 | 2019-02-28 |
| 1215442611 | Glacier Salt Cave and Spa | Massage Therapist | 917 Glacier Ave Ste 101, Juneau, AK 99801-1883 | 2017-12-06 |
| 1831608447 | Sitthida Sukkamon | Massage Therapist | 8800 Glacier Hwy Ste 227, Juneau, AK 99801-8080 | 2017-09-26 |
| 1326564618 | Megan Trigg | Massage Therapist | 917 Glacier Ave, Juneau, AK 99801-1883 | 2017-08-17 |
| 1659800233 | Wannarat S Giron | Massage Therapist | 8800 Glacier Hwy Ste 223, Juneau, AK 99801-8080 | 2017-06-07 |
| 1013441674 | Micaela Bauer | Massage Therapist | 1107 W 8th St, 10004 Glacier Hwy, Juneau, AK 99801-1853 | 2017-04-20 |
| 1952835431 | Glacier Salt Cave & Spa | Massage Therapist | 5450 Glacier Hwy, Juneau, AK 99801-9507 | 2017-04-12 |
| 1912444134 | Michele Olivia Drummond | Massage Therapist | 119 Seward St Ste 19, Juneau, AK 99801-1268 | 2017-01-25 |
| 1023565827 | Cheri Zepp | Massage Therapist | 2175 Fritz Cove Rd, Juneau, AK 99801-6813 | 2016-09-09 |
| 1912450032 | Trinity Rachel Stark | Massage Therapist | 6730 Marguerite St, Juneau, AK 99801-9430 | 2016-07-25 |
| Find all providers in JUNEAU | ||||
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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.