BLUEBIRD THERAPEUTIC MASSAGE & BODYWORK (NPI# 1730603507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730603507 |
| Entity Type | Organization |
| Organization Name | BLUEBIRD THERAPEUTIC MASSAGE & BODYWORK |
| Practice Address |
619 Ne Baker St Ste B Mcminnville OR 97128-4949 |
| Mailing Address |
527 Nw Cypress St Mcminnville OR 97128-5464 |
| Practice Telephone | 9712675375 |
| Mailing Telephone | 9712379394 |
| Enumeration Date | 2017-08-02 |
| Last Update Date | 2017-08-02 |
| Authorized Official Name | JACKIEBLU LOYA (OWNER/LICENSED MASSAGE THERAPIST) |
| Authorized Official Telephone | 9712379394 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 19526 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | BLUEBIRD THERAPEUTIC MASSAGE & BODYWORK, INC. | 1275 Nw Adams St Ste B, Mcminnville, OR 97128 |
| Oregon Corporations, Companies and Business Names | BLUEBIRD THERAPEUTIC MASSAGE & BODYWORK, LLC | 1275 Nw Adams St, Suite B, Mcminnville, OR 97128 |
| Street Address |
619 NE BAKER ST STE B |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-4949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982113684 | Jackieblu Loya | Massage Therapist | 619 Ne Baker St Ste B, Mcminnville, OR 97128-4949 | 2017-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| 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 |
|---|---|---|---|---|
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1588112676 | Breathe Body Spa, LLC | Massage Therapist | 205 Ne Ford St, Mcminnville, OR 97128-4632 | 2016-09-16 |
| 1457808115 | Kerri Nichole Jewell | Massage Therapist | 477 N Chancery St, Mcminnville, TN 37110-8901 | 2016-09-09 |
| 1538513775 | Jenna Marrant | Massage Therapist | 13780 Nw Berry Creek Rd, Mcminnville, OR 97128-7934 | 2016-04-13 |
| 1649694456 | Eva Rose Lutz | Massage Therapist | 2090 Ne Highway 99w Ste B, Mcminnville, OR 97128-6261 | 2014-02-13 |
| 1841550027 | Nicole Alexis Van Hess | Massage Therapist | 1510 Sw Ashcreek Ln, Mcminnville, OR 97128-8939 | 2012-05-22 |
| 1982907267 | Advanced Bodywork and Massage LLC | Massage Therapist | 1018 Ne 3rd St Ste C, Mcminnville, OR 97128-4403 | 2010-12-08 |
| 1396072856 | Camron Chalmers Dunn | Massage Therapist | 1709 Ne 27th St Ste J, Mcminnville, OR 97128-2347 | 2009-11-04 |
| 1043490394 | Teri R Mccoy | Massage Therapist | 240 Ne Kingwood Ct, Mcminnville, OR 97128-9056 | 2007-11-04 |
| 1366645731 | Michele Hislop | Massage Therapist | 435 Ne Evans St, Mcminnville, OR 97128-4628 | 2007-06-06 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
Please comment or provide details below to improve the information on BLUEBIRD THERAPEUTIC MASSAGE & BODYWORK.
| 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.