WILLAMETTE THERAPEUTIC MASSAGE, LLC (NPI# 1194122754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194122754 |
| Entity Type | Organization |
| Organization Name | WILLAMETTE THERAPEUTIC MASSAGE, LLC |
| Practice Address |
442 Nw 3rd St Corvallis OR 97330-6403 |
| Practice Telephone | 5417387653 |
| Mailing Telephone | 5417387653 |
| Enumeration Date | 2014-11-26 |
| Last Update Date | 2014-11-26 |
| Authorized Official Name | MR. DONALD BUTZNER (MEMBER) |
| Authorized Official Telephone | 5417387653 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7643 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | WILLAMETTE THERAPEUTIC MASSAGE, LLC | 442 Nw 3rd St, Corvallis, OR 97330 |
| Street Address |
442 NW 3RD ST |
| City | CORVALLIS |
| State | OR |
| Zip Code | 97330-6403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134526809 | Donald D Butzner | Massage Therapist | 442 Nw 3rd St, Corvallis, OR 97330-6403 | 2014-11-24 |
| 1811456973 | Doug Phillips | Massage Therapist | 442 Nw 3rd St, Corvallis, OR 97330-6403 | 2019-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235754912 | Miya Claborn | Counselor | 4495 Se Hwy 20, Corvallis, OR 97330 | 2020-06-09 |
| 1548889017 | Greydi Olvera | Counselor | Childrens Farm Home 4455 Ne Hwy 20, Corvallius, OR 97330 | 2020-04-14 |
| 1053953992 | Andie Marie Gaipo | Counselor | 4455 Ne Hwy 20 - Children's Farm Home, Corvallis, OR 97330 | 2019-10-11 |
| 1740847177 | Stephen Jack Eccles | Behavior Technician | Trillium Children's Farm Home, 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-05-21 |
| 1750944815 | Tiffany Rene Flinchpaugh | Counselor | Children's Farm Home 4455 Hwy 20, Corvallis, OR 97330 | 2019-04-15 |
| 1679035455 | Isaiah Mile Cassidy | Counselor | Children's Farm Home-4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-04-02 |
| 1982168399 | Haylee Cramblit | Counselor | Children's Farm Home 4455 Ne Hwy 20, Corvallis, OR 97330 | 2019-01-30 |
| 1457835365 | Ashley Alyn Couch | Counselor | 4455 Hwy 20 Corvallis 97330, Corvallis, OR 97330 | 2018-09-18 |
| 1104318898 | Megan Gerding | Technician, Other | 996 Nw Circle Blvd Suite 103, Corvallis, OR 97330 | 2018-05-30 |
| 1700377108 | Pacific Hearing Services | Audiologist | 975 Nw Spruce Ave, Suite #101, Corvallis, OR 97330 | 2018-05-22 |
| Find all providers in zip 97330 | ||||
| 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 |
|---|---|---|---|---|
| 1114552197 | Denise Louise Mccoy | Massage Therapist | 529 Sw 4th St, Corvallis, OR 97333-4429 | 2020-03-10 |
| 1811522196 | Vikki Fuhrman | Massage Therapist | 995 Nw Circle Blvd, Corvallis, OR 97330-1408 | 2020-03-07 |
| 1598302333 | Elite Performance Myk and Massage | Massage Therapist | 33864 Se Eastgate Cir, Corvallis, OR 97333-2248 | 2019-11-27 |
| 1518524057 | May Hawthorn | Massage Therapist | 833 Nw Buchanan Ave Ste 8, Corvallis, OR 97330-6217 | 2019-05-21 |
| 1851856702 | Brian M Finley | Massage Therapist | 525b Sw 4th St, Corvallis, OR 97333-4489 | 2019-02-05 |
| 1316401763 | Elizabeth Hoffmann | Massage Therapist | 120 Sw 4th St Ste 150, Corvallis, OR 97333-4896 | 2019-01-29 |
| 1154854834 | Custom Massage Builders | Massage Therapist | 2312 Nw Kings Blvd, Corvallis, OR 97330-3925 | 2017-04-10 |
| 1992246037 | Duanea Myers | Massage Therapist | 534 Nw 2nd St, Corvallis, OR 97330-6444 | 2017-03-08 |
| 1255887147 | Mitch Long | Massage Therapist | 320 Sw 2nd St, Corvallis, OR 97333-4632 | 2016-08-30 |
| 1881067478 | Heather Norlander | Massage Therapist | 120 Nw 4th St Ste 140, Corvallis, OR 97330-4734 | 2015-11-05 |
| Find all providers in CORVALLIS | ||||
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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.