TWO RIVERS MYOFUNCTIONAL THERAPY LLC (NPI# 1306462197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306462197 |
| Entity Type | Organization |
| Organization Name | TWO RIVERS MYOFUNCTIONAL THERAPY LLC |
| Practice Address |
635 W Cedar Pointe Way Nampa ID 83686-5582 |
| Practice Telephone | 2089181953 |
| Mailing Telephone | 2089181953 |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2020-06-17 |
| Authorized Official Name | LINDSAY CAMPBELL (OWNER/MYOFUCNTIONAL THERAPIST) |
| Authorized Official Telephone | 2089181953 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
635 W CEDAR POINTE WAY |
| City | NAMPA |
| State | ID |
| Zip Code | 83686-5582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184255960 | Kristine Lynn Fitts-eisenbrandt | Social Worker | 270 W. Gerogia Ave., Nampa, ID 83686 | 2020-01-30 |
| 1669025706 | Vitality Family Chiropractic, Pllc | Chiropractor | 3189 E Greenhurst Rd, Nampa, ID 83686 | 2019-07-18 |
| 1871150185 | King's Peak Investments, Inc. | Substance Abuse Rehabilitation Facility | 8898 Idaho 45, Nampa, ID 83686 | 2019-05-22 |
| 1154805786 | Jmj Nampa LLC | Dentist | 914 12th Ave Rd, Nampa, ID 83686 | 2018-09-19 |
| 1518448703 | Michel Cox | Pharmacy Technician | 2219 12th Ave S, Nampa, ID 83686 | 2018-08-24 |
| 1437504909 | 5 Peppers Inc | Family Medicine | 217 W. Georgia Ave. Ste 120, Nampa, ID 83686 | 2016-05-03 |
| 1811369549 | Anna Stoia | Physician Assistant | 4401 E. Tuscany Ave., Nampa, ID 83686 | 2015-10-21 |
| 1144699307 | Jamie Green | Social Worker | 112 12th Avenue Rd., Nampa, ID 83686 | 2015-09-17 |
| 1174927933 | Bower Chiropractic Inc | Chiropractor | 304 12th Ave Rd, Nampa, ID 83686 | 2014-10-22 |
| 1285037093 | Rosemary Phelps | Registered Nurse | 353 W. Iowa, Nampa, ID 83686 | 2014-10-07 |
| Find all providers in zip 83686 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164673877 | Christine Dickens | Specialist | 16171 N Brinson St, Nampa, ID 83687-5509 | 2008-10-01 |
| 1053574137 | Robert James Douglas | Specialist | 13865 Locust Ln, Nampa, ID 83686-9367 | 2008-07-08 |
| 1275759441 | Idaho Sleep Services, LLC | Specialist | 210 Georgia Ave, Ste 120, Nampa, ID 83686 | 2007-04-17 |
| 1598811945 | Idaho Urology Clinic, P.a. | Specialist | 1613 12th Ave Rd Ste B, Nampa, ID 83686-6183 | 2007-01-26 |
| 1952493249 | Wmcesa | Specialist | 1603 12th Ave. Rd, Ste. B, Nampa, ID 83686 | 2006-09-28 |
| 1649372418 | Stacie L Waite | Specialist | 337 W Iowa Ave, Nampa, ID 83686-2856 | 2006-09-02 |
| 1740213743 | Gregory Schaefer | Specialist | 1603 12th Ave Rd, Ste B, Nampa, ID 83686-7712 | 2006-07-10 |
| 1801834866 | Gary Ned Gregerson | Specialist | 1611 12th Ave Rd, Suite A, Nampa, ID 83686-7715 | 2006-06-03 |
| 1710981162 | Wilfred E Watkins | Specialist | 1613 12th Ave Rd, Ste B, Nampa, ID 83686-6183 | 2005-06-13 |
| 1083073902 | Angie Hendrix | Specialist | 823 Parkcentre Way, Nampa, ID 83651-1783 | 2016-02-19 |
| Find all providers in NAMPA | ||||
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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.