TAKAYO FACKRELL (NPI# 1609287994) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609287994 |
| Entity Type | Individual |
| Full Name | TAKAYO FACKRELL |
| Practice Address |
1634 Jean Ct Eugene OR 97402-3006 |
| Practice Telephone | 5415431548 |
| Mailing Telephone | 5415431548 |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 12167 | OR | Other Service Providers |
| Street Address |
1634 JEAN CT |
| City | EUGENE |
| State | OR |
| Zip Code | 97402-3006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709704 | Jordan Charles Smith | Massage Therapist | 775 Menroe St., Eugene, OR 97402 | 2020-01-15 |
| 1104462134 | Cerridwen Laurel Martin | Massage Therapist | 775 Monroe St., Eugene, OR 97402 | 2019-11-25 |
| 1720556368 | Valerie Jeanne Charles | Massage Therapist | 989 Throne Dr., Eugene, OR 97402 | 2018-11-12 |
| 1407324189 | Laura Angulo | Massage Therapist | 1247 W 8th Ave Apt 10, Eugene, OR 97402 | 2018-11-11 |
| 1932687472 | Karl Alan Porter | Counselor | 1195 City View St Ste B, Eugene, OR 97402 | 2018-08-06 |
| 1992283170 | Fresenius Medical Care Dialysis Services - Oregon, LLC | Clinic/Center | 3747 W 11th Ave, Eugene, OR 97402 | 2018-07-31 |
| 1699251744 | Isabella Arlo Jane Silver | Counselor | 970 W 7th Ave., Eugene, OR 97402 | 2018-07-12 |
| 1447740527 | Shasta Tobi Cooke | Behavioral Analyst | 677 1/2 W 12th Ave, Eugene, OR 97402 | 2018-05-15 |
| 1497205306 | Jenna Bracco | Social Worker | 1274 W. 7th Avenue Suite 201, Eugene, OR 97402 | 2016-10-04 |
| 1871041392 | Jeremy Powers | Massage Therapist | 882 Van Buren St, Eugene, OR 97402 | 2016-09-13 |
| Find all providers in zip 97402 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356886808 | Mary Wheeler, Lmt | Mechanotherapist | 67 N Polk St, Eugene, OR 97402-4108 | 2016-12-19 |
| 1619377579 | Walter Carell IIi | Mechanotherapist | 390 W 12th Ave Ste 202, Eugene, OR 97401-3449 | 2014-08-28 |
| 1417364027 | Alicia Rodriguez | Mechanotherapist | 4266 Royal Ave, Eugene, OR 97402-1714 | 2014-07-15 |
| 1821434614 | Dorothy Kay Hilburn | Mechanotherapist | 2252 Ridgeway Dr, Eugene, OR 97401-6558 | 2013-05-20 |
| 1023453776 | Abigail Lien | Mechanotherapist | 119 Hansen Ln, Eugene, OR 97404-3185 | 2013-05-08 |
| 1346584190 | Rachel Adams | Mechanotherapist | 1150 Darlene Ln, Apt 209, Eugene, OR 97401-1551 | 2012-11-17 |
| 1255699518 | Lauren C Bailey | Mechanotherapist | 1850 W 24th Ave, Eugene, OR 97405-1638 | 2012-04-24 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1629352729 | Chelsea Kate Heath | Mechanotherapist | 506 Sandstone Way, Eugene, OR 97402-2206 | 2011-10-06 |
| 1114214863 | Christine Marie Flaherty | Mechanotherapist | 755 River Rd, Eugene, OR 97404-3331 | 2011-07-01 |
| Find all providers in EUGENE | ||||
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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.