STACY JO DEJONG BARNES


Address: 1812 2nd St Sw Ste E, Rochester, MN 55902-4127
Phone: 5078842041

STACY JO DEJONG BARNES (NPI# 1588167100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588167100
Entity Type Individual
Full Name STACY JO DEJONG BARNES
Practice Address 1812 2nd St Sw Ste E
Rochester
MN 55902-4127
Practice Telephone 5078842041
Mailing Telephone 5078842041
Enumeration Date 2018-03-09
Last Update Date 2018-03-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 46854 MN Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1812 2ND ST SW STE E
City ROCHESTER
State MN
Zip Code 55902-4127

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1487264446 Amber Nichelle Irby Dental Therapist 903 W Center St #130, Rochester, MN 55902 2020-08-05
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1912442898 Esperanza Torres Dental Hygienist 903 West Center Street, Suite 130, United Way Bldg, Rochester, MN 55902 2016-12-30
1578971149 Alduz Inri Surio Cabasa Student in an Organized Health Care Education/Training Program 609 1st Street Sw, Unit 102, Rochester, MN 55902 2014-07-28
1679901854 Julie Erickson Dental Hygienist United Way Building Suite #208, Rochester, MN 55902 2013-10-24
1619313590 Mercedes K Schulz Dental Hygienist 13394th Ave Sw, Rochester, MN 55902 2013-05-17
1093087389 Sarah Jean Dennison Clinic/Center 930 West Center Street, Suite 208 United Way Bldg, Rochester, MN 55902 2012-02-01
1467732156 Angela Elizabeth Peters Registered Nurse 1450 2nd Avenue Sw, Rochester, MN 55902 2011-08-25
1528350071 Emily Zahasky Kraft Pharmacist 204 1st Street Sw, Rochester, MN 55902 2011-05-03
1093021982 Sherry Dawn Boutcher Dental Hygienist 903 West Center Street Suite 208, United Way Building, Rochester, MN 55902 2010-08-30
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659979680 Sarah J Coppola Massage Therapist 465 Oxford St Apt 5, Rochester, NY 14607-3238 2020-10-12
1386274264 Colby Rae Mynter Massage Therapist 274 N Goodman St Ste D106, Rochester, NY 14607-1171 2020-01-20
1982266920 Kimberly Corpus Massage Therapist 95 Allens Creek Rd Ste 330, Rochester, NY 14618-3246 2019-06-30
1881258648 Therica Harris Massage Therapist 945 E Henrietta Rd Ste A-4, Rochester, NY 14623-1419 2019-04-26
1982176921 Michael Chiedu Monu Massage Therapist 3950 Dewey Ave Ste 2, Rochester, NY 14616-2520 2018-12-31
1295223352 Paige Janis Massage Therapist 1577 W Ridge Rd Ste 208, Rochester, NY 14615-2511 2018-04-24
1649767039 Dorinda G Foos Massage Therapist 1577 W Ridge Rd, Rochester, NY 14615-2520 2018-04-20
1780184689 Sara Walrath Massage Therapist 1100 Long Pond Rd Ste 256, Rochester, NY 14626-1186 2018-02-16
1326559972 Cassondra Kubit Massage Therapist 550 Latona Rd Ste 305, Rochester, NY 14626-2700 2017-10-22
1659890226 Angela Marie Harding Massage Therapist 3450 Winton Pl Ste 4, Rochester, NY 14623-2805 2017-09-14
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Competitor

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City ROCHESTER
Zip Code 55902

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Dataset Information

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.

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