CARLTON WELLNESS STUDIO LLC (NPI# 1942849872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942849872 |
| Entity Type | Organization |
| Organization Name | CARLTON WELLNESS STUDIO LLC |
| Practice Address |
455 W Main St Carlton OR 97111-8904 |
| Mailing Address |
Po Box 601 Carlton OR 97111-0601 |
| Practice Telephone | 5038523099 |
| Mailing Telephone | 5038523099 |
| Mailing Fax Number | 5038523155 |
| Enumeration Date | 2019-12-23 |
| Last Update Date | 2019-12-23 |
| Authorized Official Name | HEATHER A CLARK (OWNER) |
| Authorized Official Telephone | 5038523099 |
| 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 | CARLTON WELLNESS STUDIO LLC | 455 W Main St, Carlton, OR 97111 |
| Street Address |
455 W MAIN ST |
| City | CARLTON |
| State | OR |
| Zip Code | 97111-8904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851623888 | Christina Michelle Perdew | Specialist | 455 W Main St, Carlton, OR 97111-8904 | 2010-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922480656 | Tia J Baxter | Massage Therapist | 500 N Gilwood St, Carlton, OR 97111 | 2015-06-18 |
| 1295031870 | Carlton Dental | Dentist | 133 E. Main St., Carlton, OR 97111 | 2011-01-31 |
| 1518966423 | Mark A. Miller | Dentist | 133 E Main, Carlton, OR 97111 | 2005-07-21 |
| 1134573843 | Jacqueline Gambee | Dentist | 133 E Main St, Carlton, OR 97111 | 2016-04-19 |
| 1275912560 | Carlton Dental, LLC | Dentist | 133 E Main St, Carlton, OR 97111 | 2015-05-20 |
| 1568587194 | Jeremiah W Cook | Massage Therapist | 310 S 3rd St, Carlton, OR 97111-0610 | 2007-03-20 |
| 1801155320 | Nichole Alexandria Pilakowski | Veterinarian | 230 S Pine St, Carlton, OR 97111-1169 | 2012-05-04 |
| 1811192792 | Med Info Services, LLC | Internal Medicine | 348 S Pine St, Carlton, OR 97111-1228 | 2007-06-19 |
| 1346507746 | Verdura Family Wellness, Inc | Clinic/Center | 348 S Pine St, Carlton, OR 97111-1228 | 2012-04-23 |
| 1043577869 | Verdura Family Wellness, Inc | Family Medicine | 348 S Pine St, Carlton, OR 97111-1228 | 2012-04-18 |
| Find all providers in zip 97111 | ||||
| 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 |
|---|---|---|---|---|
| 1922480656 | Tia J Baxter | Massage Therapist | 500 N Gilwood St, Carlton, OR 97111 | 2015-06-18 |
| 1881951176 | New Path Massage Inc | Massage Therapist | 310 S 3rd St, Carlton, OR 97111-9623 | 2012-04-12 |
| 1568587194 | Jeremiah W Cook | Massage Therapist | 310 S 3rd St, Carlton, OR 97111-0610 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1770183048 | Anna Schenk | Massage Therapist | 497 Sw Century Dr Ste 105, Bend, OR 97702-1167 | 2020-10-27 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1194324269 | Puanani Reid | Massage Therapist | 280 E Hersey St Ste B17, Ashland, OR 97520-1293 | 2020-10-20 |
| 1720686488 | Olivia Berryessa | Massage Therapist | 709 N Phoenix Rd, Medford, OR 97504-9488 | 2020-10-15 |
| 1548868466 | Massage Central LLC | Massage Therapist | 119 S Calapooia St, Sutherlin, OR 97479-8545 | 2020-10-13 |
| 1396343182 | Loretta K Bliss | Massage Therapist | 1635 Chemawa Rd Ne, Keizer, OR 97303-3639 | 2020-10-13 |
| 1982202149 | Hannah J Hamel | Massage Therapist | 1816 Cal Young Rd Apt 102, Eugene, OR 97401-2019 | 2020-10-11 |
| 1003414269 | Carlee Nicole Demore | Massage Therapist | 56880 Venture Ln # 215s, Sunriver, OR 97707-2158 | 2020-10-10 |
| 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.