ELITE PERFORMANCE MYK AND MASSAGE (NPI# 1598302333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598302333 |
| Entity Type | Organization |
| Organization Name | ELITE PERFORMANCE MYK AND MASSAGE |
| Practice Address |
33864 Se Eastgate Cir Corvallis OR 97333-2248 |
| Mailing Address |
39687 Griggs Dr Lebanon OR 97355-9476 |
| Practice Telephone | 5419618170 |
| Practice Fax Number | 5415000884 |
| Mailing Telephone | 5419618170 |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2019-11-27 |
| Authorized Official Name | HEATHER L NORLANDER (OWNER) |
| Authorized Official Telephone | 5419618170 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
33864 SE EASTGATE CIR |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97333-2248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437629037 | Collin Korthauer | Case Manager/Care Coordinator | 1650 Sw 45th Place, Corvallis, OR 97333 | 2018-11-27 |
| 1477079937 | Adam Johnson | Counselor | 518 Sw 3rd, Corvallis, OR 97333 | 2017-08-16 |
| 1386961522 | Michael S. Hanson | Counselor | 518 Sw 3rd St., Corvallis, OR 97333 | 2010-04-28 |
| 1134392376 | Corvallis Physical Therapy Inc | Physical Therapist | 230 Sw 3rd Street Suite 208, Corvallis, OR 97333 | 2008-04-09 |
| 1154529600 | Linda S Lavallee Conniff | Social Worker | 216 Sw Madison Av, #9 10, Corvallis, OR 97333 | 2007-07-06 |
| 1235337056 | Robert R Conniff | Social Worker | 216 Sw Madison Ave, 2, Corvallis, OR 97333 | 2007-07-03 |
| 1619178829 | Trillium Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 4455 Highway North West Highway 20, Corvallis, OR 97333 | 2007-05-29 |
| 1437368867 | Margaret Anne Cooper | Physical Therapist | 230 Sw 3rd Street, Suite 208, Corvallis, OR 97333 | 2007-05-22 |
| 1801009311 | Madeline Elizabeth Rubin | Social Worker | 216 Sw Madison Avenue, Suite 14, Corvallis, OR 97333 | 2007-05-08 |
| 1780707174 | Wheeler John Dale | Internal Medicine | 5060 Sw Philomath Blvd, # 512, Corvallis, OR 97333 | 2007-04-09 |
| Find all providers in zip 97333 | ||||
| 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 |
|---|---|---|---|---|
| 1114552197 | Denise Louise Mccoy | Massage Therapist | 529 Sw 4th St, Corvallis, OR 97333-4429 | 2020-03-10 |
| 1811522196 | Vikki Fuhrman | Massage Therapist | 995 Nw Circle Blvd, Corvallis, OR 97330-1408 | 2020-03-07 |
| 1518524057 | May Hawthorn | Massage Therapist | 833 Nw Buchanan Ave Ste 8, Corvallis, OR 97330-6217 | 2019-05-21 |
| 1851856702 | Brian M Finley | Massage Therapist | 525b Sw 4th St, Corvallis, OR 97333-4489 | 2019-02-05 |
| 1316401763 | Elizabeth Hoffmann | Massage Therapist | 120 Sw 4th St Ste 150, Corvallis, OR 97333-4896 | 2019-01-29 |
| 1154854834 | Custom Massage Builders | Massage Therapist | 2312 Nw Kings Blvd, Corvallis, OR 97330-3925 | 2017-04-10 |
| 1992246037 | Duanea Myers | Massage Therapist | 534 Nw 2nd St, Corvallis, OR 97330-6444 | 2017-03-08 |
| 1255887147 | Mitch Long | Massage Therapist | 320 Sw 2nd St, Corvallis, OR 97333-4632 | 2016-08-30 |
| 1881067478 | Heather Norlander | Massage Therapist | 120 Nw 4th St Ste 140, Corvallis, OR 97330-4734 | 2015-11-05 |
| 1134526809 | Donald D Butzner | Massage Therapist | 442 Nw 3rd St, Corvallis, OR 97330-6403 | 2014-11-24 |
| Find all providers in CORVALLIS | ||||
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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.