MR. MICHAEL T BURNETT JR. (NPI# 1295118313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295118313 |
Entity Type | Individual |
Full Name | MR. MICHAEL T BURNETT JR. |
Credential | LMT, CPNMT |
Practice Address |
1440 W Republic Rd Ste 112 Springfield MO 65807-5754 |
Practice Telephone | 4177191591 |
Practice Fax Number | 4177191591 |
Mailing Telephone | 4177191591 |
Mailing Fax Number | 4177197913 |
Enumeration Date | 2015-07-07 |
Last Update Date | 2019-03-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 2014021187 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | CAQH | 13938631 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871832824 | Michael Anthony Burnett | Massage Therapist | 309 Bering St., #1809, Nome, AK 99762-1809 | 2013-02-12 |
1093895716 | Michael R Burnett | Registered Nurse | 646 Mereva Rd, Smyrna, SC 29743-9747 | 2006-10-17 |
1811469604 | Michael Burnett | Physician Assistant | 7321 Balmer St, Hill Afb, UT 84056-5012 | 2018-12-18 |
1518376045 | Michael Burnett | Counselor | 32 S Macdonald, Mesa, AZ 85210-1310 | 2014-08-08 |
1720226517 | Michael Burnett | Acupuncturist | 2 Glen Hill Rd, C/o Windhorse Acupuncture, Danbury, CT 06811-4906 | 2009-02-02 |
1912094855 | Michael Burnett | Dentist | 3432 Mercer University Dr, Macon, GA 31204-4902 | 2006-10-10 |
1518070259 | Michael C. Burnett | Otolaryngology | 115 E 57th St, Suite 600, New York, NY 10022-2049 | 2006-08-16 |
1730169418 | Michael E Burnett | Internal Medicine | 1200 E Michigan Ave, Suite 415, Lansing, MI 48912-1800 | 2006-01-19 |
Street Address |
1440 W REPUBLIC RD STE 112 |
City | SPRINGFIELD |
State | MO |
Zip Code | 65807-5754 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508343039 | Jessica Ann LLC | Chiropractor | 1440 W Republic Rd Ste 112, Springfield, MO 65807-5754 | 2018-07-27 |
1962930149 | Pinnacle Chiropractic LLC | Chiropractor | 1440 W Republic Rd Ste 112, Springfield, MO 65807-5754 | 2017-06-01 |
1487192886 | Jessica Ann Crocker | Chiropractor | 1440 W Republic Rd Ste 112, Springfield, MO 65807 | 2017-02-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396390241 | Karley Kassandra Murphy | Counselor | 3734 South Ave #c, Springfield, MO 65807 | 2019-08-07 |
1396203626 | Auvia L Logan | Dietitian, Registered | 3322 S. Campbell Ave. Suite Cc, Springfield, MO 65807 | 2019-03-05 |
1598250961 | Kathryn Barber | Nurse Practitioner | 3800 S National Ave Ste 700, Springfield, MO 65807 | 2018-06-27 |
1447764899 | Missouri Midwifery Service | Clinic/Center | 3840 South Avenue, Springfield, MO 65807 | 2017-11-21 |
1124530290 | Senior Living Management Group, LLC | Skilled Nursing Facility | 3705 S Jefferson Ave, Springfield, MO 65807 | 2017-10-30 |
1740663335 | Sarah E Kirk | Physical Therapist | 3545 S. National Ave, Springfield, MO 65807 | 2015-07-01 |
1750713335 | Amanda Ward | Nurse Practitioner | 2150 W Republic Rd Ste 112, Springfield, MO 65807 | 2013-08-06 |
1932531126 | Eugenia R Cortez | Counselor | 2124 Chesterfield Blvd., Springfield, MO 65807 | 2013-07-30 |
1962742866 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3045 W Republic St, Springfield, MO 65807 | 2013-03-01 |
1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
Find all providers in zip 65807 |
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 |
---|---|---|---|---|
1386250850 | Tierney Dillon | Massage Therapist | 920 Broadway St, Springfield, OH 45504-2406 | 2020-09-21 |
1306452859 | Krystal Hanner | Massage Therapist | 8001 Forbes Pl Ste 211, Springfield, VA 22151-2205 | 2020-09-21 |
1518587211 | Elliott Challandes | Massage Therapist | 838 S 4th St Ste B, Springfield, IL 62703-2274 | 2020-04-22 |
1083251227 | Brent Eresman | Massage Therapist | 25 W. Harding Rd, Springfield, OH 45504 | 2019-12-06 |
1467097311 | Tracy L Ferrell | Massage Therapist | 1144 E Home Rd Ste C, Springfield, OH 45503-2797 | 2019-11-14 |
1891358180 | Diane Kendrick Dufresne | Massage Therapist | 1200 E Woodhurst Dr Ste Q, Springfield, MO 65804-4240 | 2019-04-22 |
1033772553 | Brenda Royce | Massage Therapist | 519 72nd St, Springfield, OR 97478-4220 | 2019-04-19 |
1568928091 | Aranda Lmt LLC | Massage Therapist | 655 A St, Springfield, OR 97477-4670 | 2019-02-20 |
1710451695 | Teri Hooper | Massage Therapist | 1200 E Woodhurst Dr Ste R300, Springfield, MO 65804-4240 | 2019-01-14 |
1104327865 | Deborah Elizabeth Webb | Massage Therapist | 1022 E Gaslight Dr, Springfield, MO 65810-3336 | 2018-02-27 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 65807 |
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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.