MS. JAN MARIE DWORSHAK (NPI# 1669561700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669561700 |
| Entity Type | Individual |
| Full Name | MS. JAN MARIE DWORSHAK |
| Credential | CMT |
| Practice Address |
1804 Trott Ave Sw Willmar MN 56201-2743 |
| Mailing Address |
1524 8th St Sw Willmar MN 56201-4036 |
| Practice Telephone | 3202222639 |
| Practice Fax Number | 3202221494 |
| Mailing Telephone | 3202535967 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1804 TROTT AVE SW |
| City | WILLMAR |
| State | MN |
| Zip Code | 56201-2743 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851820799 | Miller Chiropractic Office | Clinic/Center | 1804 Trott Ave Sw, Willmar, MN 56201-2743 | 2017-06-05 |
| 1497206197 | Community Health Service Inc. | Clinic/Center | 1804 Trott Ave Sw, Willmar, MN 56201-2743 | 2016-10-18 |
| 1750447819 | Jean Hanson | Technician, Other | 1804 Trott Ave Sw, Willmar, MN 56201-2743 | 2006-12-30 |
| 1285796391 | Jody Toren | Technician, Other | 1804 Trott Ave Sw, Willmar, MN 56201-2743 | 2006-12-14 |
| 1639245954 | Kathryn Mae Miller Stai | Chiropractor | 1804 Trott Ave Sw, Willmar, MN 56201-1614 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730793472 | Sarah Erickson | Counselor | 2120 60th Ave N.w., Willmar, MN 56201 | 2020-09-01 |
| 1417560681 | Amy Engle | Nurse Practitioner | 1125 Se 8th Street, Willmar, MN 56201 | 2020-08-28 |
| 1154856524 | Mude Transportation Inc | Non-emergency Medical Transport (VAN) | 1712 Monongalia Ave Sw Ap1, Willmar, MN 56201 | 2017-04-24 |
| 1285025874 | Jill Fellows | Occupational Therapist | 611 5th St. Sw, Willmar, MN 56201 | 2015-02-18 |
| 1700294881 | Brenda Wiese | Counselor | 1617 Hwy 12 E, Suite 230, Willmar, MN 56201 | 2014-08-01 |
| 1275955932 | Courtney Regnier | Marriage & Family Therapist | 2320 E Hwy 12 Ste 2, Willmar, MN 56201 | 2014-01-15 |
| 1568732402 | Pamela Jean Kubesh | Social Worker | 328 Sw 3rd Street, Willmar, MN 56201 | 2012-01-10 |
| 1699931824 | Community Behavioral Health Hospital-willmar | Psychiatric Hospital | 1208 Olena Ave Se, Willmar, MN 56201 | 2008-08-07 |
| 1700053345 | Nathan Schrick | Marriage & Family Therapist | 513 Sw 5th Street, Box 1810, Willmar, MN 56201 | 2008-05-13 |
| 1831381680 | Joan M Blonigan Christianson | Chiropractor | 1101 S 1st Street, Willmar, MN 56201 | 2007-08-15 |
| Find all providers in zip 56201 | ||||
| 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 |
|---|---|---|---|---|
| 1720120348 | Kristin Ann Vick | Massage Therapist | 1520 Willmar Ave Se, Willmar, MN 56201-4738 | 2007-02-12 |
| 1770625154 | Lisa Osthus | Massage Therapist | 1520 Willmar Ave Se, Willmar, MN 56201-4738 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417379 | Amanda R Deowdat | Massage Therapist | 7515 Lyndale Ave S, Richfield, MN 55423-4091 | 2020-11-04 |
| 1902405459 | Ferencz Mihaly Vincze Turcean | Massage Therapist | 1703 Snelling Ave N, Falcon Heights, MN 55113-5725 | 2020-10-25 |
| 1447859467 | Amdemichael Retta | Massage Therapist | 1260 Larpenteur Ave W Apt 320, Saint Paul, MN 55113-6324 | 2020-10-21 |
| 1851999478 | John David Haugmo | Massage Therapist | 125 W Lincoln Ave, Fergus Falls, MN 56537-2152 | 2020-10-15 |
| 1720686298 | Jessica Marie Quast | Massage Therapist | 601 Central Ave W Ste 102, Saint Michael, MN 55376-9711 | 2020-10-15 |
| 1861009185 | Miesha Nicole Lewis | Massage Therapist | 3759 Thomas Ave N, Minneapolis, MN 55412-1840 | 2020-09-30 |
| 1588271928 | Cyarra Monique Swanson | Massage Therapist | 2708 Blaisdell Ave Apt B, Minneapolis, MN 55408-1524 | 2020-09-29 |
| 1932716347 | Susan Helen Lundquist | Massage Therapist | 5901 Omaha Ave N Ste 115, Stillwater, MN 55082-6477 | 2020-09-29 |
| 1568078228 | Jasie Barbour | Massage Therapist | 13036 Europa Trl N, Hugo, MN 55038-4410 | 2020-09-18 |
| 1902411648 | Dakota Lee Hain | Massage Therapist | 1121 Jackson St Ne Ste 119, Minneapolis, MN 55413-1597 | 2020-09-10 |
| 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.