MRS. RENATE BRODECKER (NPI# 1841402328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841402328 |
| Entity Type | Individual |
| Full Name | MRS. RENATE BRODECKER |
| Credential | LMT |
| Practice Address |
210 S. Maple Eldon MO 65026-0000 |
| Practice Telephone | 5733929037 |
| Mailing Telephone | 5733929037 |
| Enumeration Date | 2007-05-04 |
| 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 | 2001012385 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
210 S. MAPLE |
| City | ELDON |
| State | MO |
| Zip Code | 65026-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235200965 | King Dental Clinic | Dentist | 102 East 9th Street, Eldin, MO 65026 | 2006-11-13 |
| 1154408425 | Miller County Ambulance District | Ambulance | 1304 South Aurora St., Eldon, MO 65026 | 2006-11-01 |
| 1285742684 | Malcolm J Dickerson | Family Medicine | 411 W 4th, Eldon, MO 65026 | 2006-08-26 |
| 1518908953 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 410 E North St, Eldon, MO 65026 | 2006-06-09 |
| 1285606392 | Capital Region Medical Center | Nurse Practitioner | 103 Business Hwy 54 North, Eldon, MO 65026 | 2006-02-02 |
| 1225024839 | Julie L. Russell | Nurse Practitioner | 304 A East 4th St, Eldon, MO 65026 | 2005-09-20 |
| 1770090490 | Lisa Renee Zaritz | Counselor | 206 S Mill St, Eldon, MO 65026 | 2018-01-03 |
| 1912417502 | Richard Mark Anderegg | Counselor | 206 S Mill St, Eldon, MO 65026 | 2017-10-09 |
| 1457888901 | Tiffany George | Counselor | 206 S Mill St, Eldon, MO 65026 | 2017-05-16 |
| 1205280427 | Evgeniya Banina | Internal Medicine | 304a E 4th St, Eldon, MO 65026 | 2016-04-14 |
| Find all providers in zip 65026 | ||||
| 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 |
|---|---|---|---|---|
| 1629283296 | Pamela J Wall | Massage Therapist | 18 S Maple St, Eldon, MO 65026-1834 | 2007-05-14 |
| 1477759082 | Diana Arlene Harrison | Massage Therapist | 116 N Maple St, Eldon, MO 65026-1761 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982211 | Evan Coonrod | Massage Therapist | 239 Steamboat Ln, Ballwin, MO 63011-3203 | 2020-11-02 |
| 1215537915 | Joseph Terry | Massage Therapist | 391 Chalmette Dr, Hazelwood, MO 63042-3532 | 2020-10-30 |
| 1043819642 | Ashley Chanele Ball | Massage Therapist | 959 W 42nd St Apt 201, Kansas City, MO 64111-4058 | 2020-10-23 |
| 1619576303 | Robert Wayne Fuller Jr. | Massage Therapist | 7211 Nw 83rd St Ste 207d, Kansas City, MO 64152-6022 | 2020-10-22 |
| 1346848991 | James Allen Brooks | Massage Therapist | 6436 Chippewa St, Saint Louis, MO 63109-2106 | 2020-10-15 |
| 1265030845 | Rhonda Kay Newton | Massage Therapist | 22768 Mo-39 Suite B, Aurora, MO 65605 | 2020-10-15 |
| 1841898798 | Justin Eric Mcmiller | Massage Therapist | 1255 Swallow Ln, Florissant, MO 63031-3326 | 2020-10-13 |
| 1982201471 | Kendra Wright | Massage Therapist | 115 W 99th Ter Apt 206, Kansas City, MO 64114-4330 | 2020-10-07 |
| 1447857651 | Sara E Sobery | Massage Therapist | 5 Carpenter Dr, Saint Peters, MO 63376-1925 | 2020-10-01 |
| 1801403167 | Kevin Phillip Cude | Massage Therapist | 35 Oxbow Rd, Saint Peters, MO 63376-1556 | 2020-09-29 |
| 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.