REST, RELAX, RECOVER THERAPEUTIC MASSAGE CENTER (NPI# 1922482249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922482249 |
Entity Type | Organization |
Organization Name | REST, RELAX, RECOVER THERAPEUTIC MASSAGE CENTER |
Practice Address |
1834 Mcpherson St Suite B North Bend OR 97459-3414 |
Mailing Address |
Po Box 1559 North Bend OR 97459-0090 |
Practice Telephone | 5417519990 |
Practice Fax Number | 5418080887 |
Mailing Telephone | 5417519990 |
Mailing Fax Number | 5418080887 |
Enumeration Date | 2015-07-16 |
Last Update Date | 2015-07-16 |
Authorized Official Name | MARIA E FORTY (OWNER) |
Authorized Official Telephone | 5417519990 |
Authorized Official Credential | LMT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | REST, RELAX, RECOVER THERAPEUTIC MASSAGE CENTER | 1834 Mcpherson St, North Bend, OR 97459 |
Street Address |
1834 MCPHERSON ST SUITE B |
City | NORTH BEND |
State | OR |
Zip Code | 97459-3414 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568002749 | Ya-chi Claire Chang | Nurse Practitioner | 1229 1890 Waite St #1, North Bend, OR 97459 | 2020-01-15 |
1629573977 | Heather M Coates | Counselor | 400 Virginia Ave Ste 100, North Bend, OR 97459 | 2018-03-28 |
1205257219 | Melissa Sperry | Health Educator | 510 Lockhart Street, North Bend, OR 97459 | 2013-12-17 |
1265862627 | Elizabeth Sylvester | Counselor | 1592 Monroe Street, North Bend, OR 97459 | 2013-11-22 |
1124370291 | Brian Noble Thompson | Pharmacist | 3411 Broadway St., North Bend, OR 97459 | 2012-10-12 |
1295081230 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3411 Broadway St, North Bend, OR 97459 | 2012-07-27 |
1366728370 | Melissa Jean Kovach | Occupational Therapy Assistant | 3959 Sheridan Ave., North Bend, OR 97459 | 2011-10-24 |
1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
1902080013 | Anthony Eugene Baldacci | Registered Nurse | 1836 Meade Street, North Bend, OR 97459 | 2007-12-26 |
1952595340 | Inland Point Senior Estates Jv LLC | Clinic/Center | 2265 Inland Drive, North Bend, OR 97459 | 2007-08-29 |
Find all providers in zip 97459 |
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 |
---|---|---|---|---|
1962032805 | Tammy Kaye Freire | Massage Therapist | 777 Virginia Ave, North Bend, OR 97459-3427 | 2020-01-20 |
1386098358 | Ruth Sacket | Massage Therapist | 3229 Broadway Ave Ste G, North Bend, OR 97459-2203 | 2016-04-15 |
1760866289 | Brittany Cooper | Massage Therapist | 3436 Broadway Ave, North Bend, OR 97459-1202 | 2015-07-14 |
1982098513 | Robin Kay | Massage Therapist | 47301 Se 159th St, North Bend, WA 98045-8650 | 2015-03-20 |
1467726331 | Elena Kathaleen Overland | Massage Therapist | 16105 Cedar Falls Rd Se, North Bend, WA 98045-9006 | 2012-02-23 |
1083981500 | Sarah Michelle Stoll | Massage Therapist | 42902 Se 173rd St, North Bend, WA 98045-9304 | 2011-11-29 |
1013200807 | Therapeutic Health LLC | Massage Therapist | 230 W 3rd Street, North Bend, WA 98045 | 2011-05-26 |
1922399500 | Nicole Renee Femling | Massage Therapist | 111 W North Bend Way, North Bend, WA 98045 | 2011-04-29 |
1295045052 | Mary Kay Weikel | Massage Therapist | 3229 Broadway St Suite G Serenity Therapy Center, North Bend, OR 97459 | 2010-10-14 |
1063720001 | Katherine Marie Hundley | Massage Therapist | 49930 Se Middle Fork Rd, North Bend, WA 98045-8892 | 2010-09-23 |
Find all providers in NORTH BEND |
City | NORTH BEND |
Zip Code | 97459 |
Please comment or provide details below to improve the information on REST, RELAX, RECOVER THERAPEUTIC MASSAGE CENTER.
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.