DANA ROCHELLE BERTUBIN (NPI# 1629597000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629597000 |
| Entity Type | Individual |
| Full Name | DANA ROCHELLE BERTUBIN |
| Practice Address |
1811 Maplewood Commons Dr Maplewood MO 63143-1000 |
| Mailing Address |
9 Vanmark Way Brentwood MO 63144-2442 |
| Practice Telephone | 3146468484 |
| Enumeration Date | 2017-09-16 |
| Last Update Date | 2017-09-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2009001308 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1811 MAPLEWOOD COMMONS DR |
| City | MAPLEWOOD |
| State | MO |
| Zip Code | 63143-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689164675 | Christina E Thaier | Counselor | 7346 Manchester Rd., #200, Maplewood, MO 63143 | 2018-05-15 |
| 1568828051 | Kathryn Stinson | Counselor | 7346 Manchester Ave, Suite 202, Maplewood, MO 63143 | 2016-01-13 |
| 1235548074 | Peter Schumaker, Lpc | Counselor | 3134 Sutton Blvd., Maplewood, MO 63143 | 2014-08-06 |
| 1194149567 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3210 Laclede Station Rd, St. Louis, MO 63143 | 2014-02-06 |
| 1366043853 | Michael Bopp | Pharmacist | 1900 Maplewood Commons Dr, Pharmacy, Maplewood, MO 63143 | 2020-11-03 |
| 1184122707 | Jillayna Adamson | Counselor | 3134 Sutton Blvd, Maplewood, MO 63143 | 2018-01-29 |
| 1801310123 | Teresa Marie Sorenson | Massage Therapist | 2104 Bellevue Ave, Maplewood, MO 63143 | 2017-07-28 |
| 1245505098 | Nucrown, LLC | Optometrist | 1817 Maplewood Commons Dr, Maplewood, MO 63143-1000 | 2012-03-13 |
| 1891227393 | Hollis Smith | Physician Assistant | 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | 2017-04-03 |
| 1578506796 | Michael Matthew Merlenbach | Optometrist | 1900 Maplewood Commons Dr, Merlenbach Eyecare, P.C., Maplewood, MO 63143-1005 | 2006-06-14 |
| Find all providers in zip 63143 | ||||
| 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 |
|---|---|---|---|---|
| 1063072775 | Kathiana Prophete | Massage Therapist | 1933 Springfield Ave, Maplewood, NJ 07040-3416 | 2019-06-14 |
| 1609369792 | Jany Lou Sabins | Massage Therapist | 133 Union Ave, Maplewood, NJ 07040-1421 | 2018-06-13 |
| 1497250187 | Huaimin Cahill | Massage Therapist | 1690 Mcknight Rd N Ste E, Maplewood, MN 55109-4879 | 2018-03-26 |
| 1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
| 1942437744 | Angela Fern | Massage Therapist | 2485 Maplewood Dr Ste 215, Maplewood, MN 55109-1980 | 2009-06-18 |
| 1548321441 | Andrew C Ting | Massage Therapist | 206 Lexington Avenue, Maplewood, NJ 07040 | 2006-12-13 |
| 1801310123 | Teresa Marie Sorenson | Massage Therapist | 2104 Bellevue Ave, Maplewood, MO 63143 | 2017-07-28 |
| 1427412634 | Massage Supreme Therapeutic and Wellness Spa | Massage Therapist | 2168 Millburn Ave, Suite 205, Maplewood, NJ 07040-2640 | 2016-04-13 |
| 1790148179 | Segilade Jobi-odeneye | Massage Therapist | 2168 Millburn Ave, Suite 205, Maplewood, NJ 07040-2640 | 2016-04-01 |
| 1194115527 | Clara Allison | Massage Therapist | 2130 Millburn Ave, Suite C8 Flr C, Maplewood, NJ 07040-3725 | 2015-01-22 |
| Find all providers in MAPLEWOOD | ||||
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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.