MS. TRACI RAE BLOEDORN (NPI# 1679705909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679705909 |
| Entity Type | Individual |
| Full Name | MS. TRACI RAE BLOEDORN |
| Credential | ARCB |
| Practice Address |
N8380 Old Highway 47 Black Creek WI 54106-9152 |
| Practice Telephone | 9205253011 |
| Mailing Telephone | 9205253011 |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2009-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173C00000X | Reflexologist | BO1207 | WI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | ARCB NATIONAL CERTIFICATION NUMBER BO1207 | BO1207 | 01 |
| Street Address |
N8380 OLD HIGHWAY 47 |
| City | BLACK CREEK |
| State | WI |
| Zip Code | 54106-9152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659773323 | Zandy Moes | Registered Nurse | 502 Field Crest Lane, Black Creek, WI 54106 | 2014-09-24 |
| 1144416819 | Sandra Jeradette Krizek | Registered Nurse | 4673 Mayflower Rd, Black Creek, WI 54106 | 2007-09-17 |
| 1942233648 | Black Creek Rescue Service | Ambulance | W5200 County Rd B, Black Creek, WI 54106 | 2006-07-08 |
| 1396894127 | Thomas Emery Lornson | Dentist | 207 S. Main St, Black Creek, WI 54106-0255 | 2007-01-10 |
| 1760567218 | Pathways Family Chiropractic, Inc. | Chiropractor | 86 Coulee Rd, Suite 201, Hudson, WI 54106-2371 | 2006-10-25 |
| 1619521846 | Kayla Ann Ebben | Registered Nurse | N4673 Mayflower Rd, Black Creek, WI 54106-8025 | 2019-07-25 |
| 1629581756 | Caitlin Ebben | Registered Nurse | W5541 County Road A, Black Creek, WI 54106-8421 | 2017-11-11 |
| 1952929242 | Brianna Marie Karweick | Student in an Organized Health Care Education/Training Program | N5704 Cty Rd Pp, Black Creek, WI 54106-8518 | 2020-07-13 |
| 1972008704 | Midwest Legacy Capital LLC | Clinic/Center | W4233 State Rd 54, Black Creek, WI 54106-8633 | 2018-03-26 |
| 1528333788 | Community Eyecare Inc | Optometrist | 413 S Main St, Black Creek, WI 54106-9501 | 2012-03-20 |
| Find all providers in zip 54106 | ||||
| Taxonomy Code | 173C00000X |
| Grouping | Other Service Providers |
| Classification | Reflexologist |
| Reflexologists perform a non-invasive complementary modality involving thumb and finger techniques to apply alternating pressure to the reflexes within the reflex maps of the body located on the feet, hands, and outer ears. Reflexologists apply pressure to specific areas (feet, hands, and ears) to promote a response from an area far removed from the tissue stimulated via the nervous system and acupuncture meridians. Reflexologists are recommended to complete a minimum of 200 hours of education, typically including anatomy & physiology, Reflexology theory, body systems, zones, meridians & relaxation response, ethics, business standards, and supervised practicum. |
| Notes: Source: National Uniform Claim Committee (based on the American Reflexology Certification Board definition of Reflexology), 2007 [1/1/2008: new] Additional Resources: Foot and hand reflexology is a scientific art based on the premise that there are zones and reflex areas in the feet and hands which correspond to all body parts. The physical act of applying specific pressures using thumb, finger and hand techniques result in stress reduction which causes a physiological change in the body. Reflexology is a non-invasive, complementary modality involving thumb and finger techniques to apply alternating pressure to reflexes shown on reflex maps of the body located on the feet, hands, and outer ears. American Reflexology Certification Board, www.arcb.net/definiti.htm; Reflexology Association of America, www.reflexology-usa.org/standards.html |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639488273 | Rebecca Ann Frey | Reflexologist | 5680 Canary Ave, Sparta, WI 54656 | 2010-09-30 |
| 1659696664 | Csj Enterprises, LLC | Reflexologist | N3480 Fox Street, Chilton, WI 53014 | 2010-04-01 |
| 1720313174 | Cheri Haines | Reflexologist | 2025 Dickson Pl, Madison, WI 53713-1119 | 2009-10-02 |
| 1750519641 | Kathryn A. Greschner | Reflexologist | 938 20 1/2 Ave, Cumberland, WI 54829-9775 | 2009-06-30 |
| 1396997771 | David C Mccampbell | Reflexologist | 5316 Shorewood Dr, Eau Claire, WI 54703-9670 | 2008-10-16 |
| 1508013566 | Dianne Marie Goettl | Reflexologist | 1610 Main Street, Bloomer, WI 54724 | 2008-08-21 |
| 1336427483 | Isabel Landau | Reflexologist | 715 Hill St, Suite 130, Madison, WI 53705-3542 | 2011-07-22 |
| 1225316359 | Wendy Kaye Warren Grapentine | Reflexologist | 8202 Excelsior Dr, Madison, WI 53717-1906 | 2011-07-22 |
| 1154619567 | Steve Nack | Reflexologist | 8202 Excelsior Dr, Madison, WI 53717-1906 | 2011-07-19 |
| City | BLACK CREEK |
| Zip Code | 54106 |
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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.