BACK & BODY THERAPEUTIC TOUCH, LLC (NPI# 1831289107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831289107 |
| Entity Type | Organization |
| Organization Name | BACK & BODY THERAPEUTIC TOUCH, LLC |
| Other Organization Name | BACK & BODY REHABILITATION |
| Practice Address |
147 N State St Berlin WI 54923-1621 |
| Mailing Address |
N6681 County Rd N Princeton WI 54968-9323 |
| Practice Telephone | 9202290955 |
| Mailing Telephone | 9202290955 |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TINA L SWANKE (OWNER) |
| Authorized Official Telephone | 9202290955 |
| Authorized Official Credential | OTR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 729-026 | WI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40729700 | 05 |
| Other Name | Type Code |
|---|---|
| Back & Body Rehabilitation | Doing Business As Name - Organization |
| Street Address |
147 N STATE ST |
| City | BERLIN |
| State | WI |
| Zip Code | 54923-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063511061 | Tina Lorene Swanke | Specialist | 147 N State St, Berlin, WI 54923-1621 | 2006-09-22 |
| 1558915652 | Brandon James Dial | Chiropractor | 147 N State St, Berlin, WI 54923-1621 | 2019-07-26 |
| 1447746730 | Katrine Koerting Colton | Chiropractor | 147 N State St, Berlin, WI 54923-1621 | 2018-07-10 |
| 1538458559 | Jennifer T Mauel | Chiropractor | 147 N State St, Berlin, WI 54923-1621 | 2011-03-30 |
| 1407915937 | Wepner Chiropractic Office, S.c. | Chiropractor | 147 N State St, Berlin, WI 54923-1621 | 2006-12-08 |
| 1134200413 | Patrick James Edwards | Chiropractor | 147 N State St, Berlin, WI 54923-1621 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910067 | Mary Ellen F Pumper | Pharmacist | 861 County Rd F, Berlin, WI 54923 | 2020-10-21 |
| 1962020792 | Brown Wilcox Trustees, Inc. | Home Health | 347 East Huron Street, Berlin, WI 54923 | 2020-07-08 |
| 1083050942 | Veterinary Clinic Berlin/ripon | Veterinarian | W1915 Cty Road F, Berlin, WI 54923 | 2013-05-20 |
| 1114078243 | David Earl Johanknecht | Optometrist | 269 Memorial Dr, Suite 103, Berlin, WI 54923 | 2007-01-16 |
| 1043314677 | William Harold Hastreiter | Dentist | 102 W Huron St, Berlin, WI 54923 | 2006-09-12 |
| 1699725333 | Kurt Alan Zemke | Dentist | 280 South Church St, Berlin, WI 54923 | 2006-05-11 |
| 1942280821 | Dina N Nelson | Nurse Anesthetist, Certified Registered | 225 Memorial Drive, Anesthesia Dept, Berlin, WI 54923 | 2006-01-18 |
| 1679574453 | Craig Batley | Family Medicine | W832 Hwy 91, Suite 3, Berlin, WI 54923 | 2005-08-03 |
| 1477043313 | Lina D Ramos | Registered Nurse | 225 Memorial Dr, Berlin, WI 54923 | 2018-05-16 |
| 1760887392 | Waushara Dental Associate Sc | Dentist | 322 Broadway, Berlin, WI 54923 | 2014-10-24 |
| Find all providers in zip 54923 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811453715 | Megan Hines | Specialist | 313a Bay St, Berlin, MD 21811-1207 | 2019-02-15 |
| 1871640599 | Zakir Hussain | Specialist | 54 Willow St, Berlin, NH 03570-2084 | 2007-01-04 |
| 1063511061 | Tina Lorene Swanke | Specialist | 147 N State St, Berlin, WI 54923-1621 | 2006-09-22 |
| 1578559563 | Jeffrey E. Fernley | Specialist | 9733 Healthway Drive, Berlin, MD 21811 | 2005-09-23 |
| 1801079702 | Health Professionals of Holmes County, Inc | Specialist | 4900 Oak Street, Berlin, OH 44610 | 2007-12-13 |
| 1114023165 | Dolores Rhymer-anderson | Specialist | 11107 Racetrack Road, Berlin, MD 21811-3279 | 2006-09-16 |
| 1598872731 | Nitin Verma | Specialist | 314 Franklin Ave, Ste 402, Berlin, MD 21811 | 2006-08-24 |
| 1811979487 | Craig S Chertack | Specialist | 225 Memorial Dr, Berlin, WI 54923-1243 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043835440 | Michael Dale Shoultz | Specialist | 2622 Hoard St, Madison, WI 53704-4827 | 2020-06-11 |
| 1134752934 | Denise Douglass | Specialist | 31 Northstar Ln, Saint Croix Falls, WI 54024-9005 | 2020-02-20 |
| 1164065025 | Susan Jane Janz | Specialist | 1014 W Thomas St, Wausau, WI 54401-5986 | 2019-10-23 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1982161048 | Natalia Roman | Specialist | 725 W Lapham Blvd Apt 17, Milwaukee, WI 53204-3447 | 2019-02-25 |
| 1598231524 | Shanel Marie Jordan | Specialist | 4827 N 76th St, Milwaukee, WI 53218-3826 | 2018-10-17 |
| 1386191799 | Dallas Roger Loukes | Specialist | 323 W Monroe St, Wyocena, WI 53969 | 2016-09-01 |
| 1285084368 | Madison Swim Academy | Specialist | 605 Chase Blvd, Sun Prairie, WI 53590-2382 | 2016-06-20 |
| 1851745905 | Kristyn Zahorik | Specialist | 7515 W Coldspring Rd, Greenfield, WI 53220-2814 | 2016-04-14 |
| 1104297274 | Andrea Renee Keapproth | Specialist | 433 W Washington Ave, Madison, WI 53703-3482 | 2015-10-14 |
| 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.