ROSE THUNDER (NPI# 1710391768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710391768 |
| Entity Type | Individual |
| Full Name | ROSE THUNDER |
| Credential | CMT |
| Practice Address |
112 Central Ave E Ste B Saint Michael MN 55376-9511 |
| Mailing Address |
2520 Lander Ave Ne Saint Michael MN 55376-9398 |
| Practice Telephone | 6128671135 |
| Mailing Telephone | 6128671335 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2017-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 173C00000X | Reflexologist | Other Service Providers |
| Street Address |
112 CENTRAL AVE E STE B |
| City | SAINT MICHAEL |
| State | MN |
| Zip Code | 55376-9511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417513128 | Jacqueline Jensen | Physical Therapist | 601 Central Ave W, Suite 102, St Michael, MN 55376 | 2019-05-17 |
| 1902308901 | Great Lakes Chiropractic of St. Michael Pllc Ltd | Chiropractor | 116 Central Ave E, Saint Michael, MN 55376 | 2018-03-06 |
| 1073050704 | Catherine Passe | Registered Nurse | 600 Central Street Avenue East, St Michael, MN 55376 | 2017-01-19 |
| 1518208313 | Allison Rae Delaney | Speech-Language Pathologist | 403 East Central Ave, Suite 102, Sunny Days Therapy, St. Michael, MN 55376 | 2013-03-05 |
| 1902195357 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 9 Central Ave E, Saint Michael, MN 55376 | 2011-04-06 |
| 1629148523 | John Richard Biorn | Dentist | 399 East Central Ave, St. Michael, MN 55376 | 2006-11-08 |
| 1124096730 | Catherine T Pham | Pediatrics | 4300 Edgewood Drive Ne, St. Michael, MN 55376 | 2006-03-09 |
| 1295256345 | Caleb John Mol | Marriage & Family Therapist | 703 Thielen Dr, Saint Michael, MN 55376 | 2017-06-29 |
| 1508022922 | Katie J Stangl | Marriage & Family Therapist | 703 Thielen Dr, Saint Michael, MN 55376 | 2008-08-05 |
| 1225100811 | Posthumus & Biorn, Inc. | Dentist | 399 Central Ave E, Saint Michael, MN 55376-0279 | 2006-11-15 |
| Find all providers in zip 55376 | ||||
| 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 |
|---|---|---|---|---|
| 1720686298 | Jessica Marie Quast | Massage Therapist | 601 Central Ave W Ste 102, Saint Michael, MN 55376-9711 | 2020-10-15 |
| 1326169517 | Kimberly Ann Carlson | Massage Therapist | 205 County Road 119, Saint Michael, MN 55376-9272 | 2007-04-03 |
| 1720434640 | Jacqueline Brown | Massage Therapist | 112 Central Ave E, Saint Michael, MN 55376-9511 | 2016-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417379 | Amanda R Deowdat | Massage Therapist | 7515 Lyndale Ave S, Richfield, MN 55423-4091 | 2020-11-04 |
| 1902405459 | Ferencz Mihaly Vincze Turcean | Massage Therapist | 1703 Snelling Ave N, Falcon Heights, MN 55113-5725 | 2020-10-25 |
| 1447859467 | Amdemichael Retta | Massage Therapist | 1260 Larpenteur Ave W Apt 320, Saint Paul, MN 55113-6324 | 2020-10-21 |
| 1851999478 | John David Haugmo | Massage Therapist | 125 W Lincoln Ave, Fergus Falls, MN 56537-2152 | 2020-10-15 |
| 1861009185 | Miesha Nicole Lewis | Massage Therapist | 3759 Thomas Ave N, Minneapolis, MN 55412-1840 | 2020-09-30 |
| 1588271928 | Cyarra Monique Swanson | Massage Therapist | 2708 Blaisdell Ave Apt B, Minneapolis, MN 55408-1524 | 2020-09-29 |
| 1932716347 | Susan Helen Lundquist | Massage Therapist | 5901 Omaha Ave N Ste 115, Stillwater, MN 55082-6477 | 2020-09-29 |
| 1568078228 | Jasie Barbour | Massage Therapist | 13036 Europa Trl N, Hugo, MN 55038-4410 | 2020-09-18 |
| 1902411648 | Dakota Lee Hain | Massage Therapist | 1121 Jackson St Ne Ste 119, Minneapolis, MN 55413-1597 | 2020-09-10 |
| 1871108704 | Lillian Musungu Shiraku | Massage Therapist | 12970 63rd Ave N, Maple Grove, MN 55369-6001 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | SAINT MICHAEL |
| Zip Code | 55376 |
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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.