AMY LYN BOFENKAMP (NPI# 1083252662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083252662 |
| Entity Type | Individual |
| Full Name | AMY LYN BOFENKAMP |
| Other Name | AMY LYN BOFENKAMP |
| Credential | AMY |
| Practice Address |
517 Brookridge Dr Winston Salem NC 27103-6104 |
| Practice Telephone | 3363917276 |
| Mailing Telephone | 3363917276 |
| Enumeration Date | 2019-12-14 |
| Last Update Date | 2019-12-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 10625 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
517 BROOKRIDGE DR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-6104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| 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 |
|---|---|---|---|---|
| 1265047633 | Andrew Brandon Duggins | Massage Therapist | 4020 Yarbrough Ave, Winston Salem, NC 27106-1642 | 2020-09-12 |
| 1659985869 | Christiana Elisa Owens | Massage Therapist | 152 Surtees Rd, Winston Salem, NC 27104-2635 | 2020-09-04 |
| 1083235519 | Elizabeth Ashley Holdren | Massage Therapist | 1020 Brookstown Ave Ste 11, Winston Salem, NC 27101-2539 | 2020-05-06 |
| 1356974778 | Brent W Deskins | Massage Therapist | 2800 Hermitage Dr, Winston Salem, NC 27103-4206 | 2020-02-13 |
| 1659930014 | Nathifa Campbell | Massage Therapist | 1008 Brookstown Ave Ste C7, Winston Salem, NC 27101-2562 | 2019-06-10 |
| 1548789480 | Curtis Ebray Edmunds Jr. | Massage Therapist | 2714 Henning Dr Ste 1, Winston Salem, NC 27106-4502 | 2017-09-12 |
| 1770026247 | Nicole Mccollum | Massage Therapist | 5565 Gyddie Dr, Winston Salem, NC 27105-9606 | 2016-11-30 |
| 1649571043 | Jessica Graf | Massage Therapist | 614 S Hawthorne Rd, Winston Salem, NC 27103-3718 | 2010-11-16 |
| 1407047517 | Thomas Michael Joyce Jr. | Massage Therapist | 217 Olde Vineyard Ct, Winston Salem, NC 27104-4932 | 2007-08-05 |
| 1205477171 | Nicola Roach | Massage Therapist | 1012 Brookstown Ave, Winston Salem, NC 27101-2523 | 2019-10-02 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on AMY LYN BOFENKAMP.
| 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.