THERESA DONAVANT-BUTLER (NPI# 1154713295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154713295 |
| Entity Type | Individual |
| Full Name | THERESA DONAVANT-BUTLER |
| Credential | LMT9185 |
| Practice Address |
564 Glatt Circle Woodburn OR 97071 |
| Mailing Address |
Po Box 1112 Woodburn OR 97071-1112 |
| Practice Telephone | 5032500127 |
| Mailing Telephone | 5032500127 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 9185 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
564 GLATT CIRCLE |
| City | WOODBURN |
| State | OR |
| Zip Code | 97071 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629628839 | Carla Frances Halvorson | Technician | 955 Carol St Apt D, Woodburn, OR 97071 | 2019-09-19 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1710257878 | Darlene Jost-babin | Counselor | 693 Ray J Glatt Circle, Woodburn, OR 97071 | 2012-01-06 |
| 1932401437 | Marcelino Mauro Vera Ramirez | Chiropractor | 844 Pana Street, Woodburn, OR 97071 | 2010-12-03 |
| 1801110994 | Woodburn Cosmetic & Family Dentistry P.C. | Dentist | 1018 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-18 |
| 1568786911 | Woodburn Dental Group, P.C. | Dentist | 1034 N. Boones Ferry Rd., Woodburn, OR 97071 | 2010-03-15 |
| 1134384985 | Roberto Diaz Camarillo | Counselor | 399 Young Street, Woodburn, OR 97071 | 2008-07-22 |
| 1447431705 | Patricia Eddy | Physical Therapist | 1475 Mt Hood Avenue, Woodburn, OR 97071 | 2007-11-15 |
| 1992926471 | Marquis Physical Therapy & Spine Rehab, PC | Physical Therapist | 2241 Country Club Rd, Woodburn, OR 97071 | 2007-05-01 |
| 1376686659 | Joseph Paul Whitson | Family Medicine | 1475 Mt Hood Ave, Silverton Hospital Immediate Care, Woodburn, OR 97071 | 2007-02-15 |
| Find all providers in zip 97071 | ||||
| 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 |
|---|---|---|---|---|
| 1275184251 | Marfa Reutov | Massage Therapist | 7066 S Oster Rd Unit C, Woodburn, OR 97071-8709 | 2019-09-22 |
| 1245899236 | Sonia M Arellano | Massage Therapist | 2247 Country Club Rd, Woodburn, OR 97071-2811 | 2019-06-12 |
| 1407332539 | Benjamin Minlee Haong | Massage Therapist | 1208 Kotka St, Woodburn, OR 97071-4339 | 2018-07-11 |
| 1851801856 | Angela Hill | Massage Therapist | 564 Ray J Glatt Cirle, Woodburn, OR 97071 | 2017-10-04 |
| 1376922427 | Yelena Goldashkin | Massage Therapist | 1242 Judy St, Woodburn, OR 97071-5917 | 2015-05-22 |
| 1922240944 | Kimberly Benito | Massage Therapist | 564 Glatt Cir, Woodburn, OR 97071-9675 | 2009-04-06 |
| 1902827025 | Holley Jean Deshaw | Massage Therapist | 559 Glatt Cir, Woodburn, OR 97071-9675 | 2006-07-22 |
| 1356875066 | Rachel Parker | Massage Therapist | 559 Glatt Cir, Woodburn, OR 97071-9675 | 2017-04-19 |
| 1639548159 | Tyler Coxen | Massage Therapist | 559 Glatt Cir, Woodburn, OR 97071-9675 | 2015-09-15 |
| 1992059596 | Elena Cam | Massage Therapist | 559 Glatt Cir, Suite 1, Woodburn, OR 97071-9675 | 2012-11-04 |
| Find all providers in WOODBURN | ||||
Please comment or provide details below to improve the information on THERESA DONAVANT-BUTLER.
| 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.