EDWARD EARL JAMES WEBER (NPI# 1558829705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558829705 |
| Entity Type | Individual |
| Full Name | EDWARD EARL JAMES WEBER |
| Practice Address |
110 4th St W Kalispell MT 59901-4825 |
| Mailing Address |
35 3rd Ave E Kalispell MT 59901-4527 |
| Practice Telephone | 4068853555 |
| Enumeration Date | 2019-03-06 |
| Last Update Date | 2019-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | LMT-LMT-LIC-1590 | MT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700181435 | Edward Lawrence Weber | Internal Medicine | 4109 Boulevard Place, Mercer Island, WA 98040-3403 | 2011-01-11 |
| 1437161239 | Edward Glenn Weber | Physical Therapist | 800 Grand Central Mall, Suite 1, Vienna, WV 26105-4100 | 2006-08-12 |
| 1245213248 | Edward Chas Weber | Radiology | 7631 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2005-11-22 |
| Street Address |
110 4TH ST W |
| City | KALISPELL |
| State | MT |
| Zip Code | 59901-4825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437621158 | Jennifer Welzel | Massage Therapist | 110 4th St W, Kalispell, MT 59901-4825 | 2018-12-19 |
| 1710522677 | Kiley Clark | Advanced Practice Midwife | 110 4th St W, Kalispell, MT 59901-4825 | 2019-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982226650 | Mountain Physical Therapy and Fitness Center LLC | Physical Medicine & Rehabilitation | 2593 Highway 2 East, Suite 6, Kalispell, MT 59901 | 2020-05-15 |
| 1164058350 | Jessica Leeann Abell | Physical Therapist | 1825 Highway 93 S. Suite C, Kalispell, MT 59901 | 2020-03-19 |
| 1588216535 | Diversified Therapeutic Services, Pllc | Clinic/Center | 30 E Washinton St, Suite A, Kalispell, MT 59901 | 2019-07-10 |
| 1467986216 | Jill Shaver | Counselor | 285 2nd Avenue Wn, Suite #100, Kalispell, MT 59901 | 2017-04-19 |
| 1003270810 | Angela Otto | Counselor | 17 2nd St E Ste 204, Kalispell, MT 59901 | 2016-04-07 |
| 1548626989 | Pamela Greskowiak | Counselor | 2282 Hwy 93 South, Suite #1, Kalispell, MT 59901 | 2016-01-14 |
| 1063894921 | Joel Booth | Dentist | 690 N Meridian Rd Ste 106, Kalispell, MT 59901 | 2015-06-26 |
| 1982085841 | Heather Reddig | Specialist | 751 Snowberry Trail, Kalispell, MT 59901 | 2015-06-16 |
| 1497147193 | Patricia Greene Hall | Psychologist | 1035 1st Ave W Fl 3, Kalispell, MT 59901 | 2015-03-04 |
| 1720478886 | Lori Mariani | Social Worker | 1605 Danielson Road, Kalispell, MT 59901 | 2015-01-28 |
| Find all providers in zip 59901 | ||||
| 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 |
|---|---|---|---|---|
| 1366058448 | Kristina M Williams | Massage Therapist | 101 E Center St Ste 203, Kalispell, MT 59901-4079 | 2020-09-23 |
| 1053978171 | Amber R Granzow | Massage Therapist | 322 2nd Ave W Ste E, Kalispell, MT 59901-4867 | 2019-05-23 |
| 1437621158 | Jennifer Welzel | Massage Therapist | 110 4th St W, Kalispell, MT 59901-4825 | 2018-12-19 |
| 1629582283 | Gena Mahilom | Massage Therapist | 3000 Mt Highway 35, Kalispell, MT 59901-7721 | 2017-11-18 |
| 1033661640 | Amanda Fish | Massage Therapist | 409 1st Ave E Ste A, Kalispell, MT 59901-4918 | 2016-10-30 |
| 1518317981 | Douglas Bradley | Massage Therapist | 1500 Airport Rd Ste 5, Kalispell, MT 59901-5748 | 2016-06-16 |
| 1942668835 | Cassandra Manzer | Massage Therapist | 420 W Center St, Kalispell, MT 59901-4034 | 2016-02-05 |
| 1609274562 | Laura Hay | Massage Therapist | 33 2nd St E Ste 7, Kalispell, MT 59901-6123 | 2014-12-09 |
| 1710391818 | Lisa Jakober | Massage Therapist | 2638 Hwy 2 East, Kalispell, MT 59901 | 2014-06-17 |
| 1316374044 | Lisa Kate Morrow | Massage Therapist | 725 6th Ave E., #16, Kalispell, MT 59901 | 2013-09-26 |
| Find all providers in KALISPELL | ||||
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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.