MRS. AMANDA DIANE BERG (NPI# 1366711004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1366711004 |
Entity Type | Individual |
Full Name | MRS. AMANDA DIANE BERG |
Credential | L.M.T. |
Practice Address |
1405 N. Pierce St. Suite 210 Little Rock AR 72207 |
Practice Telephone | 5016646664 |
Practice Fax Number | 5016646614 |
Mailing Telephone | 5016646664 |
Mailing Fax Number | 5016646614 |
Enumeration Date | 2011-12-27 |
Last Update Date | 2011-12-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 7376 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548694466 | Amanda Berg | Student in an Organized Health Care Education/Training Program | 1371 Loma Ave, #203, Long Beach, CA 90804-2900 | 2013-08-27 |
1841899366 | Amanda Elizabeth Berg | Social Worker | 3333 University Ave Se, Minneapolis, MN 55414-3325 | 2020-10-26 |
1669085478 | Amanda Berg | Counselor | 808 5th Ave, Des Moines, IA 50309-1307 | 2020-08-31 |
1679060990 | Amanda P Berg | Counselor | 807 Lawn Ave, Sellersville, PA 18960-1549 | 2018-04-23 |
1659889004 | Amanda Catherine Berg | Physician Assistant | 10370 N La Canada Dr Ste 150, Oro Valley, AZ 85737-7270 | 2018-01-19 |
1912447608 | Amanda Berg | Speech-Language Pathologist | 308 Ne 2nd St, Wagoner, OK 74441 | 2017-03-01 |
1245508597 | Amanda E Berg | Counselor | 1 Arch Pl, Greenfield, MA 01301-2457 | 2011-12-01 |
1699984062 | Amanda Lisa Berg | Internal Medicine | 21097 Ne 27th Ct, Suite 490, Aventura, FL 33180-1204 | 2007-05-22 |
Street Address |
1405 N. PIERCE ST. SUITE 210 |
City | LITTLE ROCK |
State | AR |
Zip Code | 72207 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245754555 | Yolanda Johnson | Case Manager/Care Coordinator | 1100 N University Suite 200, Little Rock, AR 72207 | 2017-07-28 |
1275065146 | Mccallum Medical Pa | Emergency Medicine | 1923 N Tyler St, Little Rock, AR 72207 | 2017-03-30 |
1700326790 | Denira Zardoost | Case Manager/Care Coordinator | 1100 N.uiversity, Evergreen Place Suite 200, Little Rock, AR 72207 | 2017-02-24 |
1952794828 | Robert Young Md | Clinic/Center | 4617 Crestwood Dr, Little Rock, AR 72207 | 2015-03-16 |
1801184080 | Larra Jean Bender | Massage Therapist | 1405 N. Pierce St. Suite 210, Little Rock, AR 72207 | 2011-07-21 |
1326371550 | Elizabeth G White | Social Worker | 1501 N University Ave Ste 416, Little Rock, AR 72207 | 2009-09-04 |
1437334364 | Lori Lamitina Nicholson | Chiropractor | 1405 North Pierce Street, Suite 210, Little Rock, AR 72207 | 2008-01-09 |
1568656858 | Megan Elizabeth Hughes | Social Worker | 5905 Forest Place, Little Rock, AR 72207 | 2007-08-30 |
1336361955 | Jennifer Baldwin | Occupational Therapist | 7204 M St, Little Rock, AR 72207 | 2007-05-03 |
1336266055 | Eric Baskins | Counselor | 5509 Forest Place, Suite 100, Little Rock, AR 72207 | 2007-03-26 |
Find all providers in zip 72207 |
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 |
---|---|---|---|---|
1114542651 | Sharon Elaine Gray | Massage Therapist | 7617 W 41st St, Little Rock, AR 72204-7547 | 2020-06-10 |
1336762152 | Jenna Leigh Pratt | Massage Therapist | 425 W Capitol Ave Ste 237, Little Rock, AR 72201-3440 | 2020-05-27 |
1104448885 | Shacreya Swanigan | Massage Therapist | 4 Shackleford Plz Ste 205, Little Rock, AR 72211-1844 | 2020-05-15 |
1588209159 | Michelle J Cox | Massage Therapist | 12120 Colonel Glenn Rd Ste 6200, Little Rock, AR 72210-2370 | 2019-11-07 |
1245874700 | Shantae Sharie Hughes | Massage Therapist | 2024 Arkansas Valley Dr Ste 602, Little Rock, AR 72212-4145 | 2019-10-29 |
1437790607 | Deborah Thompson | Massage Therapist | 1011 W 6th St Ste 6, Little Rock, AR 72201-3025 | 2019-09-30 |
1770136624 | Ashlee Dawn Smith | Massage Therapist | 15424 Arch St, Little Rock, AR 72206-5434 | 2019-07-19 |
1225500499 | Spurgeon Leavy | Massage Therapist | 10515 W Markham St Ste F3, Little Rock, AR 72205-2291 | 2018-12-27 |
1669982278 | Jessica G Tolliver | Massage Therapist | 400 W Capitol Ave Ste 2848, Little Rock, AR 72201-3415 | 2017-10-09 |
1417482233 | Jason Shivers | Massage Therapist | 1301 Scott St, Suite 11, Little Rock, AR 72202-5051 | 2017-04-30 |
Find all providers in LITTLE ROCK |
City | LITTLE ROCK |
Zip Code | 72207 |
Please comment or provide details below to improve the information on MRS. AMANDA DIANE BERG.
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.