SARAH JEAN NELSON (NPI# 1912425794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912425794 |
| Entity Type | Individual |
| Full Name | SARAH JEAN NELSON |
| Other Name | SARAH JEAN EIDUM |
| Credential | LMT |
| Practice Address |
2801 Great Northern Loop Missoula MT 59808-1745 |
| Mailing Address |
18755 Mullan Rd Frenchtown MT 59834-9629 |
| Practice Telephone | 4065499100 |
| Mailing Telephone | 4063815127 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | LIC-LIC-LMT-1197 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179358 | Sarah Nelson | Student in an Organized Health Care Education/Training Program | 6061 Tchoupitoulas St, New Orleans, LA 70118-5742 | 2020-03-21 |
| 1376190496 | Sarah Marie Nelson | Physical Therapist | 500 Lighthouse Ave # B, Monterey, CA 93940-1423 | 2019-08-22 |
| 1891213559 | Sarah Nelson | Acupuncturist | 910 W San Marcos Blvd Ste 109, San Marcos, CA 92078-1116 | 2017-09-01 |
| 1730565623 | Sarah Colleen Nelson | Specialist | 162a Riverside Ave, Orofino, ID 83544-9066 | 2015-08-03 |
| 1457765992 | Sarah M. Y. Nelson | Counselor | 700 South Ave W Ste D, Missoula, MT 59801-8011 | 2014-06-12 |
| 1386071751 | Sarah Elizabeth Nelson | Occupational Therapy Assistant | 3100 Northside Pkwy Nw, Atlanta, GA 30327-1563 | 2013-10-01 |
| 1629321658 | Sarah Ann Nelson | Physical Therapist | 1905 W. Hart Road, Beloit, WI 53511 | 2012-10-15 |
| 1619283231 | Sarah K. D. Nelson | Speech-Language Pathologist | 6405 Boydton Plank Rd, Petersburg, VA 23803-7401 | 2010-08-19 |
| 1578765079 | Sarah W Nelson | Psychiatry & Neurology | 300 Wright Avenue, Marcy, NY 13404 | 2007-06-05 |
| 1881672848 | Sarah Nelson | Audiologist | 14275 Golf Course Dr Ste 220, Baxter, MN 56425-8691 | 2006-01-09 |
| Street Address |
2801 GREAT NORTHERN LOOP |
| City | MISSOULA |
| State | MT |
| Zip Code | 59808-1745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073605200 | Carl Edward Thornblade | Allergy & Immunology | 2801 Great Northern Loop, Suite 101, Missoula, MT 59808-1745 | 2006-09-28 |
| 1225685399 | Carly Keene | Massage Therapist | 2801 Great Northern Loop, Missoula, MT 59808-1745 | 2019-08-22 |
| 1205332582 | Cortney Alexandria Skinner | Massage Therapist | 2801 Great Northern Loop, Missoula, MT 59808-1745 | 2018-04-04 |
| 1477906808 | Tyler Rapke | Massage Therapist | 2801 Great Northern Loop, Missoula, MT 59808-1745 | 2016-07-21 |
| 1972960276 | Laura Elizabeth Gilhousen | Acupuncturist | 2801 Great Northern Loop, Missoula, MT 59801 | 2016-01-19 |
| 1689047391 | Randi Plouffe | Reflexologist | 2801 Great Northern Loop, Missoula, MT 59808-1745 | 2015-11-03 |
| 1649679408 | April Gragg | Chiropractor | 2801 Great Northern Loop, Missoula, MT 59808-1745 | 2014-08-18 |
| 1053726323 | Derek Gene Smith Jr. | Massage Therapist | 2801 Great Northern Loop, Missoula, MT 59808-1745 | 2014-06-25 |
| 1649694092 | Charles Vickrey | Massage Therapist | 2801 Great Northern Loop, Missoula, MT 59808-1745 | 2014-02-05 |
| 1740620830 | Eugene Statelen | Specialist | 2801 Great Northern Loop, Missoula, MT 59808-1745 | 2013-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447720875 | Megan Elizabeth Galliford | Behavioral Analyst | 1647 Shindig Dr, Apt 303, Missoula, MT 59808 | 2018-11-28 |
| 1518473560 | Willow Mahana Nelson Griffith | Registered Nurse | 2829 Great Northern Loop Ste 300, Missoula, MT 59808 | 2017-12-28 |
| 1043739428 | Carol Elizabeth Mckenzie | Student in an Organized Health Care Education/Training Program | 2705 Oshaughnessy St, Missoula, MT 59808 | 2017-09-16 |
| 1558884064 | Sharon Marie Herndon | Nurse Practitioner | 2230 N Reserve St Ste 402, Missoula, MT 59808 | 2017-07-18 |
| 1427594761 | Erin Boggs | Specialist/Technologist | 2921 Dublin St, Missoula, MT 59808 | 2017-01-10 |
| 1942603287 | Benjamin Cody Mcintosh | Chiropractor | 1070 N. Russell St., Missoula, MT 59808 | 2014-10-01 |
| 1518219617 | Pure Medical Inc | Ambulance | 5515 Bonanza Place, Missoula, MT 59808 | 2012-10-12 |
| 1932462231 | Kathleen F Calcagno | Specialist/Technologist | 2615 Connery Way, Suite 2b, Missoula, MT 59808 | 2012-06-21 |
| 1639454127 | Dentyn Dunaway | Pharmacist | 2527 N Reserve Street, Missoula, MT 59808 | 2011-10-15 |
| 1750557690 | Carl Thornblade, Md, Pllc | Allergy & Immunology | 2801 Great Northern Loop Ste 101, Missoula, MT 59808 | 2008-04-30 |
| Find all providers in zip 59808 | ||||
| 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 |
|---|---|---|---|---|
| 1982216834 | Rosemary A Stoudt | Massage Therapist | 415 N Higgins Ave Ste 128, Missoula, MT 59802-4563 | 2020-08-21 |
| 1114549540 | Rozanne Smith | Massage Therapist | 700 South Ave W Ste C, Missoula, MT 59801-8011 | 2020-05-07 |
| 1215584719 | Shelby Riley | Massage Therapist | 2801 S Russell St Ste 39, Missoula, MT 59801-7922 | 2019-08-20 |
| 1588229686 | Kayla Hull | Massage Therapist | 1940 Harve Ave Ste B, Missoula, MT 59801-8332 | 2019-05-03 |
| 1063984078 | Sarah Jane Hanlon | Massage Therapist | 801 Sherwood St Ste 1, Missoula, MT 59802-2659 | 2019-01-02 |
| 1184195182 | Deep Tissue Massage Group, Inc. | Massage Therapist | 725 W Alder St Ste 20, Missoula, MT 59802-4099 | 2018-12-17 |
| 1518435940 | Marc Benjamin Gonzalez | Massage Therapist | 397 Brianna Ct, Missoula, MT 59804-1041 | 2018-11-03 |
| 1780169847 | Cindy Ardis Clippinger | Massage Therapist | 4708 Sage St, Missoula, MT 59808-1475 | 2018-09-25 |
| 1881181444 | Carol Anne Lesser | Massage Therapist | 1918 Birch St, Missoula, MT 59802 | 2018-04-19 |
| 1700383940 | Kelsey Hamilton | Massage Therapist | 6945 Linda Vista Blvd, Missoula, MT 59803 | 2018-04-12 |
| Find all providers in MISSOULA | ||||
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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.