REVA JEANNE WHITSON (NPI# 1629542626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629542626 |
| Entity Type | Individual |
| Full Name | REVA JEANNE WHITSON |
| Credential | LMT |
| Practice Address |
837 N Main St. Myrtle Creek OR 97457 |
| Mailing Address |
Po Box 185 Myrtle Creek OR 97457-0019 |
| Practice Telephone | 5418634920 |
| Mailing Telephone | 5416130669 |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 22523 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OBMT | 22523 | 01 |
| Street Address |
837 N MAIN ST. |
| City | MYRTLE CREEK |
| State | OR |
| Zip Code | 97457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235619578 | Mark Francis Kleinschmidt | Massage Therapist | 213 S.pacific Hwy., St. 101, Myrtle Creek, OR 97457 | 2018-08-16 |
| 1992183859 | Centennial Medical Group East, LLC | Clinic/Center | 145 E. Broadway, Myrtle Creek, OR 97457 | 2015-05-12 |
| 1356504443 | Jd Tucker Rohm | Chiropractor | 213 So. Old Pacific Highway, Suite 101, Myrtle Creek, OR 97457 | 2008-07-08 |
| 1295998920 | Paula Jo Cramer | Nurse Practitioner | 790 S Main St Myrtle, Creek, Ore, Myrtle Creek, OR 97457 | 2008-07-02 |
| 1952529810 | Jackie J Sochin | Nurse Practitioner | 790 S. Main, Myrtle Creek, OR 97457 | 2007-04-23 |
| 1255480786 | James A. Lawson Jr. | Dentist | 434 N. E. 2nd St., Myrtle Creek, OR 97457 | 2007-01-10 |
| 1194809921 | Kenneth Lee Mills | Dentist | 244 Ne Division, Myrtle Creek, OR 97457 | 2006-10-25 |
| 1164516365 | Jaime Francisco Serranzana | General Practice | 925 Nw Pacific Hwy, Myrtle Creek, OR 97457 | 2006-10-03 |
| 1407968472 | Lynn E Goodwin | Optometrist | 425 N Main, Myrtle Creek, OR 97457 | 2006-08-31 |
| 1265457808 | Anna Marie Hansen | Physical Therapist | 213 Nw 2nd Ave, Myrtle Creek, OR 97457 | 2006-07-13 |
| Find all providers in zip 97457 | ||||
| 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 |
|---|---|---|---|---|
| 1235619578 | Mark Francis Kleinschmidt | Massage Therapist | 213 S.pacific Hwy., St. 101, Myrtle Creek, OR 97457 | 2018-08-16 |
| 1902271810 | Christopher L Stern | Massage Therapist | 213 S Old Pacific Hwy, Myrtle Creek, OR 97457-8784 | 2015-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013712 | Gabriel Henriques | Massage Therapist | 805 Se Peacock Ln, Portland, OR 97214-3278 | 2020-11-07 |
| 1871193490 | Heather R Anderson | Massage Therapist | 1646 Se Tenino St, Portland, OR 97202-6713 | 2020-11-01 |
| 1770183048 | Anna Schenk | Massage Therapist | 497 Sw Century Dr Ste 105, Bend, OR 97702-1167 | 2020-10-27 |
| 1205435716 | Michella Onnis | Massage Therapist | 2410 Se 10th Ave, Portland, OR 97214-4624 | 2020-10-26 |
| 1194324269 | Puanani Reid | Massage Therapist | 280 E Hersey St Ste B17, Ashland, OR 97520-1293 | 2020-10-20 |
| 1720686488 | Olivia Berryessa | Massage Therapist | 709 N Phoenix Rd, Medford, OR 97504-9488 | 2020-10-15 |
| 1548868466 | Massage Central LLC | Massage Therapist | 119 S Calapooia St, Sutherlin, OR 97479-8545 | 2020-10-13 |
| 1396343182 | Loretta K Bliss | Massage Therapist | 1635 Chemawa Rd Ne, Keizer, OR 97303-3639 | 2020-10-13 |
| 1982202149 | Hannah J Hamel | Massage Therapist | 1816 Cal Young Rd Apt 102, Eugene, OR 97401-2019 | 2020-10-11 |
| 1003414269 | Carlee Nicole Demore | Massage Therapist | 56880 Venture Ln # 215s, Sunriver, OR 97707-2158 | 2020-10-10 |
| Find all providers with the same taxonomy | ||||
| City | MYRTLE CREEK |
| Zip Code | 97457 |
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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.