TINA CECILIE WAMBEKE (NPI# 1366713562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366713562 |
| Entity Type | Individual |
| Full Name | TINA CECILIE WAMBEKE |
| Practice Address |
119 S. Main St. Restoration Massage Therapy, LLC Three Forks MT 59752 |
| Mailing Address |
119 S. Main St. P.o. Box 863 Three Forks MT 59752-0863 |
| Practice Telephone | 4062854263 |
| Practice Fax Number | 4062854628 |
| Mailing Telephone | 4062854263 |
| Mailing Fax Number | 4062854628 |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 1232 | MT | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | BOARD OF MEDICAL EXAMINERS, EMERGENCY MEDICAL TECHNICIAN- BASIC | LICENSE 7956 | 01 |
| MT | MONTANA BOARD OF MASSAGE THERAPY | LICENSE 1232 | 01 |
| Street Address |
119 S. MAIN ST. RESTORATION MASSAGE THERAPY, LLC |
| City | THREE FORKS |
| State | MT |
| Zip Code | 59752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164800454 | Three Forks School District #j24 | Local Education Agency (LEA) | 212 East Neal, Three Forks, MT 59752 | 2015-05-07 |
| 1376678037 | Three Forks Physical Therapy, Inc. | Clinic/Center | 203 S Main St., Three Forks, MT 59752 | 2007-02-22 |
| 1457320327 | Kristin Mariah Johnson | Nurse Practitioner | 16 Railway Ave., Three Forks, MT 59752 | 2006-03-14 |
| 1447811146 | Emily Uhl Rothing | Physical Therapist | 203 S Main Street, Three Forks, MT 59752 | 2019-06-24 |
| 1093297202 | Alena R Mayer | Physical Therapy Assistant | 203 S Main St., Three Forks, MT 59752 | 2018-09-04 |
| 1013307842 | Jamie Lyn Demaray | Mechanotherapist | 119 Main Street, Three Forks, MT 59752 | 2015-02-02 |
| 1942238001 | Laura Lower | Counselor | 7 Railway Ave., Three Forks, MT 59752-0462 | 2006-06-29 |
| 1699139386 | Montana Oxygen LLC | Durable Medical Equipment & Medical Supplies | 627 West Jefferson, Three Forks, MT 59752-0787 | 2016-04-08 |
| 1356471213 | Chad D Russell | Dentist | 123 Main St, Suite #1, Three Forks, MT 59752-0850 | 2007-03-07 |
| 1164404026 | Three Forks Area Ambulance Service District | Ambulance | 15 East Date Street, Three Forks, MT 59752-0911 | 2005-11-16 |
| Find all providers in zip 59752 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013307842 | Jamie Lyn Demaray | Mechanotherapist | 119 Main Street, Three Forks, MT 59752 | 2015-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679060727 | James Vanard Fix | Mechanotherapist | 127 E Main St Ste 314, Missoula, MT 59802-4420 | 2018-04-15 |
| 1043604275 | Angela Smith | Mechanotherapist | 800 10th Ave S, Suite 2, Great Falls, MT 59405-2147 | 2015-03-25 |
| 1114269206 | Karie Lee Barstow | Mechanotherapist | 214 9th St S, Great Falls, MT 59405-2104 | 2013-03-26 |
| 1861740581 | Jennifer L Vanderburg | Mechanotherapist | 240 N. Higgins #11, Missoula, MT 59802 | 2012-08-28 |
| 1013275361 | Wanda Susan Swann | Mechanotherapist | 1365 Evans Ave, Butte, MT 59701-3421 | 2012-04-24 |
| 1255577839 | Faylene Caton Hedoesit | Mechanotherapist | 416 N Custer, Hardin, MT 59034-0416 | 2009-01-02 |
| 1437519899 | Ross Allison | Mechanotherapist | 1940 W Dickerson St Ste 102, Bozeman, MT 59718-6851 | 2016-02-28 |
| 1104244250 | Bethany Jeanne Kesler | Mechanotherapist | 1365 Evans Ave, Butte, MT 59701 | 2014-04-04 |
| 1942627625 | Lena Schiffer | Mechanotherapist | 421 W Mendenhall St, Downstairs, Bozeman, MT 59715-3448 | 2014-03-19 |
| 1295157121 | John William Cochrane | Mechanotherapist | 43 Woodland Park Dr, Ste. 20, Kalispell, MT 59901-4600 | 2014-01-12 |
| Find all providers with the same taxonomy | ||||
| City | THREE FORKS |
| Zip Code | 59752 |
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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.