AMBER WELLBORN (NPI# 1750750493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750750493 |
| Entity Type | Individual |
| Full Name | AMBER WELLBORN |
| Credential | LMT |
| Practice Address |
336 Hidden Valley Rd Florence MT 59833-6955 |
| Practice Telephone | 4063960387 |
| Mailing Telephone | 4063960387 |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2015-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | LMT-LMT-LIC-2625 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
336 HIDDEN VALLEY RD |
| City | FLORENCE |
| State | MT |
| Zip Code | 59833-6955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245604057 | Frederick Carl Guenzler | Massage Therapist | 201 Luby Lane, Florence, MT 59833 | 2015-11-17 |
| 1669894119 | Rachel J Evens | Nurse Practitioner | 1803 Eastside Hwy, Stevensville, MT 59833 | 2014-01-16 |
| 1851739551 | Lee Richard Hayne | Specialist | 660 Sweeney Cr. Lp., Florence, MT 59833 | 2013-06-05 |
| 1811221179 | Simone Alicia Larson | Massage Therapist | 5537 Old Us 93, Suite A, Florence, MT 59833 | 2009-09-18 |
| 1114062809 | Robert S Hart | Family Medicine | 5549 Old Highway 93, Florence, MT 59833 | 2007-02-20 |
| 1639221559 | Edward Andrew Boniecki | Occupational Therapist | 5633 Highway 93, Florence, MT 59833 | 2007-01-18 |
| 1891807046 | Carl Richard Shepp | Dentist | 5460 Hwy 93, Florence, MT 59833 | 2006-08-31 |
| 1265825434 | Terrence Austin | Physician Assistant | 5549 Us Highway 93 N, Florence, MT 59833 | 2015-03-12 |
| 1811141914 | Functional Performance Therapy, Inc. | Home Health | 5563 Old Hiway 93, Florence, MT 59833-0171 | 2008-11-17 |
| 1679087357 | Heather Marie Lodwig | Counselor | 20075 Old Us Highway 93, Florence, MT 59833-6000 | 2017-11-17 |
| Find all providers in zip 59833 | ||||
| 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 |
|---|---|---|---|---|
| 1912516527 | Mary Frances Hasekoester | Massage Therapist | 9910 Berberich Dr Unit C, Florence, KY 41042-3220 | 2020-07-29 |
| 1093347916 | Leslie M Shaw | Massage Therapist | 75 Cavalier Blvd Ste 222, Florence, KY 41042-3959 | 2020-02-08 |
| 1033606140 | Nicole Houtz | Massage Therapist | 1512 W 3rd St, Florence, CO 81226-9412 | 2018-04-16 |
| 1164944351 | Karie James | Massage Therapist | 2010 11th St, Florence, OR 97439 | 2017-07-10 |
| 1326577214 | Leroy Tart Jr. | Massage Therapist | 608 Gregg Ave, Florence, SC 29501-4317 | 2017-06-05 |
| 1740713585 | Jennifer M Rasmussen | Massage Therapist | 1379 Rhododendron Dr, Florence, OR 97439-7405 | 2017-04-08 |
| 1497295117 | Eletha Walker | Massage Therapist | 215 Walker Smith Rd, Florence, MS 39073 | 2017-02-28 |
| 1518323005 | Michelle Hyatt | Massage Therapist | 117 S Pikes Peak Ave, Florence, CO 81226-1430 | 2016-01-13 |
| 1245604057 | Frederick Carl Guenzler | Massage Therapist | 201 Luby Lane, Florence, MT 59833 | 2015-11-17 |
| 1770960890 | Corey Ione Burgess | Massage Therapist | 1845 Highway 126 Ste A, Florence, OR 97439-9626 | 2015-04-27 |
| Find all providers in FLORENCE | ||||
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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.