MRS. AMANDA RAE HENDRICKS (NPI# 1366921553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366921553 |
| Entity Type | Individual |
| Full Name | MRS. AMANDA RAE HENDRICKS |
| Credential | LMT |
| Practice Address |
601 E. Court St Condon OR 97823 |
| Mailing Address |
P.o. Box 5 601 E. Court St Condon OR 97823 |
| Practice Telephone | 5037077400 |
| Mailing Telephone | 5037077400 |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2018-08-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | LMT023660 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982214912 | Amanda Ann Hendricks | Counselor | 20 S Santa Cruz Ave Ste 300, Los Gatos, CA 95030-6827 | 2020-08-04 |
| 1235684572 | Amanda Hendricks | Speech-Language Pathologist | 35535 6th Ave Sw, Federal Way, WA 98023-8110 | 2016-08-16 |
| 1851775126 | Amanda Hendricks | Pharmacist | 1606 Highland Colony Pkwy, Madison, MS 39110-6917 | 2015-07-16 |
| 1679867014 | Amanda Hendricks | Nurse Practitioner | 9510 Ormsby Station Rd Ste 100, Louisville, KY 40223-4082 | 2011-06-02 |
| 1942481841 | Amanda Joanne Hendricks | Psychiatric Hospital | 815 S Pearl St, Tacoma, WA 98465-2117 | 2007-11-19 |
| 1922044767 | Amanda Harrison Hendricks | Pediatrics | 310 Eisenhower Dr, Bldg 16, Savannah, GA 31406-2632 | 2006-06-21 |
| Street Address |
601 E. COURT ST |
| City | CONDON |
| State | OR |
| Zip Code | 97823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588964407 | South Gilliam County Health Dist | Clinic/Center | 422 North Main St., Condon, OR 97823 | 2010-10-26 |
| 1467505883 | South Gilliam County Ambulance | Ambulance | 422 N Main, Condon, OR 97823-0085 | 2007-01-19 |
| 1376608901 | Bruce D. Carlson | Clinic/Center | 422 N Main, Condon, OR 97823-0705 | 2006-12-26 |
| 1972636868 | Roderick K. Murray | Pharmacist | 225 S. Main Str, Condon, OR 97823-0725 | 2007-03-13 |
| 1336272244 | Stephanie J. Thomas | Pharmacy Technician | 225 S. Main Str, Condon, OR 97823-0725 | 2007-03-13 |
| 1144353962 | Murray Drugs, Inc. | Pharmacist | 225 S. Main Str, Condon, OR 97823-0725 | 2007-03-13 |
| 1285064709 | North Central Education Service District | Local Education Agency (LEA) | 135 S Main St, Condon, OR 97823-2057 | 2013-11-19 |
| 1801223599 | Anna Charapata | Pharmacist | 225 S Main St, Condon, OR 97823-2058 | 2013-09-26 |
| 1093364937 | Damon Michael Holland | Counselor | 422 N Main St, Condon, OR 97823-7651 | 2019-09-04 |
| 1922580778 | Brooke Ansotegui | Counselor | 422 N Main St, Condon, OR 97823-7651 | 2018-08-29 |
| Find all providers in zip 97823 | ||||
| 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 |
|---|---|---|---|---|
| 1053759001 | Bobbie Jo Robinson | Massage Therapist | 6295 Mt Highway 83, Condon, MT 59826-8702 | 2013-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1770183048 | Anna Schenk | Massage Therapist | 497 Sw Century Dr Ste 105, Bend, OR 97702-1167 | 2020-10-27 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1194324269 | Puanani Reid | Massage Therapist | 280 E Hersey St Ste B17, Ashland, OR 97520-1293 | 2020-10-20 |
| 1720686488 | Olivia Berryessa | Massage Therapist | 709 N Phoenix Rd, Medford, OR 97504-9488 | 2020-10-15 |
| 1548868466 | Massage Central LLC | Massage Therapist | 119 S Calapooia St, Sutherlin, OR 97479-8545 | 2020-10-13 |
| 1396343182 | Loretta K Bliss | Massage Therapist | 1635 Chemawa Rd Ne, Keizer, OR 97303-3639 | 2020-10-13 |
| 1982202149 | Hannah J Hamel | Massage Therapist | 1816 Cal Young Rd Apt 102, Eugene, OR 97401-2019 | 2020-10-11 |
| 1003414269 | Carlee Nicole Demore | Massage Therapist | 56880 Venture Ln # 215s, Sunriver, OR 97707-2158 | 2020-10-10 |
| Find all providers with the same taxonomy | ||||
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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.