AMANDA LYNN TUCKER (NPI# 1548667504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548667504 |
| Entity Type | Individual |
| Full Name | AMANDA LYNN TUCKER |
| Credential | LMT, E-RYT |
| Practice Address |
1 W 6th St Suite # 102 Medford OR 97501-2732 |
| Mailing Address |
23 Glen Oak Ct Medford OR 97504-7671 |
| Practice Telephone | 5419730568 |
| Mailing Telephone | 5419730568 |
| Enumeration Date | 2014-11-19 |
| Last Update Date | 2014-11-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 20793 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687940 | Amanda Tucker | Technician | 174 Lucille Ln, Washington, WV 26181-3615 | 2020-10-19 |
| 1619586534 | Amanda Kate Tucker | Dietitian, Registered | 312 12th Ave Ne, Norman, OK 73071-5238 | 2020-07-27 |
| 1013391242 | Amanda Jo Browning Tucker | Optometrist | 707 Avenue F Nw, Childress, TX 79201 | 2015-07-17 |
| 1568856789 | Amanda Dawn Tucker | Anesthesiology | 5053 Rangeview Ave, Longmont, CO 80504-3536 | 2015-03-25 |
| 1497050165 | Amanda Tucker | Counselor | 714 Roselawn Ave, Apt 7, Mt Lebanon, PA 15228-2235 | 2011-01-11 |
| 1740888999 | Amanda M Tucker | Specialist/Technologist, Other | 7324 Southwest Fwy Ste 1550, Houston, TX 77074-2053 | 2020-10-10 |
| 1922636521 | Amanda Leigh Tucker | Behavior Technician | 9038 Cross Park Dr Ste 105, Knoxville, TN 37923-4729 | 2020-03-30 |
| 1073144796 | Amanda Brittany Tucker | Nurse Practitioner | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-01-31 |
| 1093207458 | Amanda Corinne Tucker | Case Manager/Care Coordinator | 3601 Coliseum St, New Orleans, LA 70115-3606 | 2018-06-01 |
| 1275047656 | Amanda Michelle Tucker | Physician Assistant | 2525 S Michigan Ave, Chicago, IL 60616-2332 | 2017-11-21 |
| Street Address |
1 W 6TH ST SUITE # 102 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97501-2732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265883219 | Amanda Rhein | Massage Therapist | 1 W 6th St, Medford, OR 97501-2732 | 2016-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366069494 | Brian Snapp | Counselor | 1191 Hazel St, Medford, OR 97501 | 2020-07-06 |
| 1477174761 | Corey Renfree | Counselor | 1191 Hazel Street, Medford, OR 97501 | 2020-04-28 |
| 1669012928 | One of A Kind Therapy LLC | Social Worker | 916 West 10th St #205, Medford, OR 97501 | 2020-01-14 |
| 1265993620 | Star Dialysis LLC | Clinic/Center | 50 Rossanley Dr, Medford, OR 97501 | 2019-03-28 |
| 1962972463 | Karen Elise Roertgen | Counselor | 328 So. Central Ave., Suite 204, Medford, OR 97501 | 2018-11-28 |
| 1316458813 | Rick's Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 562 Parsons Drive, Suite 114, Medford, OR 97501 | 2017-10-24 |
| 1750807111 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 821 N Riverside Ave, Medford, OR 97501 | 2017-08-17 |
| 1992229009 | Cassandra Schultz | Massage Therapist | 824 East Jackson, Suite A, Medford, OR 97501 | 2017-07-31 |
| 1972962355 | Robin Clevenger | Peer Specialist | 301 S Ivy St, Medford, OR 97501 | 2016-02-15 |
| 1154706984 | Debbie Diane Orr | Behavioral Analyst | 1024 West 9th Street, Medford, OR 97501 | 2015-07-22 |
| Find all providers in zip 97501 | ||||
| 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 |
|---|---|---|---|---|
| 1720686488 | Olivia Berryessa | Massage Therapist | 709 N Phoenix Rd, Medford, OR 97504-9488 | 2020-10-15 |
| 1922613744 | Danielle Roche | Massage Therapist | 8 Big Cone Ln, Medford, NY 11763-4229 | 2020-09-09 |
| 1437768603 | Corinna Horst | Massage Therapist | 1104 E Jackson St, Medford, OR 97504-7029 | 2020-07-23 |
| 1366064685 | Moira Jean Volz I | Massage Therapist | 718 Cardley Ave, Medford, OR 97504-6124 | 2020-05-08 |
| 1194346619 | Pricilla Madera | Massage Therapist | 1345 Center Dr Unit A, Medford, OR 97501-7945 | 2020-05-06 |
| 1497390322 | Tracy Lynn Deal | Massage Therapist | 1550 Biddle Rd Ste C, Medford, OR 97504-4691 | 2019-11-14 |
| 1265075196 | Stephanie Renee Myers | Massage Therapist | 3190 State St Ste 101, Medford, OR 97504-8498 | 2019-10-23 |
| 1720546658 | Anatrypsis Massage and Wellness | Massage Therapist | 711 E Main St Ste 16, Medford, OR 97504-7139 | 2019-03-11 |
| 1457819609 | Gordon Pilotte | Massage Therapist | 5 Boston Ave Ste B, Medford, MA 02155-6721 | 2019-03-06 |
| 1174087092 | Andrey Pravda | Massage Therapist | 2924 Seckel St, Medford, OR 97504-8150 | 2019-01-24 |
| Find all providers in MEDFORD | ||||
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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.