MRS. TAMMY ANN NICODEMUS (NPI# 1760539092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760539092 |
| Entity Type | Individual |
| Full Name | MRS. TAMMY ANN NICODEMUS |
| Credential | L.M.T. |
| Practice Address |
38916 Proctor Blvd Sandy OR 97055 |
| Mailing Address |
Po Box 202 Eagle Creek OR 97022-0202 |
| Practice Telephone | 5036683530 |
| Mailing Telephone | 5037097187 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 11824 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
38916 PROCTOR BLVD |
| City | SANDY |
| State | OR |
| Zip Code | 97055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942712922 | Harmony Pediatric Dental Group LLC | Dentist | 37515 Se Hwy 26, Sandy, OR 97055 | 2017-10-30 |
| 1447595020 | Russell Roy Cross | Pharmacist | 16625 326nd Ave, Sandy, OR 97055 | 2012-12-07 |
| 1043566847 | Clackamas County | Clinic/Center | 37400 Se Bell Street, Sandy, OR 97055 | 2012-07-30 |
| 1992064646 | Mt. Hood Dental Clinic | Clinic/Center | 39880 Pleasant St, Sandy, OR 97055 | 2012-05-15 |
| 1760756472 | Sandy Chiropractic Clinic | Chiropractor | 38953 Pioneer Blvd., Sandy, OR 97055 | 2012-02-27 |
| 1861635328 | Anthony James Turin | Optometrist | 36840 Se Industrial Way Ste D, Sandy, OR 97055 | 2009-04-14 |
| 1982875894 | Bruce A. Biermann D.m.d.,p.c. | Dentist | 39870 Se Pleasant St, Sandy, OR 97055 | 2008-03-19 |
| 1386856862 | Kenneth George Claggett | Dentist | 39055 Pioneer Blvd, Sandy, OR 97055 | 2007-05-04 |
| 1053532218 | Matthew Insuok Sah | Family Medicine | 16605 Bluff Rd, Sandy, OR 97055 | 2007-05-02 |
| 1699717868 | Paul S Hansen | Dentist | 39880 Pleasant Street, Sandy, OR 97055 | 2006-06-12 |
| Find all providers in zip 97055 | ||||
| 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 |
|---|---|---|---|---|
| 1639654650 | Rachelle Bytendorp | Massage Therapist | 8341 S 700 E Ste A, Sandy, UT 84070-0504 | 2018-09-25 |
| 1467957928 | Ashley Klungervik | Massage Therapist | 2550 E Dimple Dell Rd, Sandy, UT 84092-4923 | 2018-03-27 |
| 1235646480 | Peter Martin Schans | Massage Therapist | 8170 S Highland Dr Ste E2, Sandy, UT 84093-6497 | 2018-01-09 |
| 1003336207 | Deep Recovery Massage Inc | Massage Therapist | 8031 700 E, Sandy, UT 84070-8407 | 2017-06-20 |
| 1275983173 | Julianne Kalmbach | Massage Therapist | 38530 Pleasant St Ste B, Sandy, OR 97055-6395 | 2016-06-21 |
| 1902292170 | Kristina Morgan Flickinger | Massage Therapist | 39451 Dubarko Rd, Sandy, OR 97055-9322 | 2015-04-14 |
| 1528407764 | Beth Ann Biggs | Massage Therapist | 39303 Se Winery Rd, Sandy, OR 97055-9617 | 2013-06-20 |
| 1720322084 | Association of Lymphatic Therapy | Massage Therapist | 11075 S State Street Bldg. #35, Sandy, UT 84070 | 2012-11-26 |
| 1558613802 | Scott K. Morrison | Massage Therapist | 9523 S Raintree Dr, Sandy, UT 84092-3264 | 2012-10-11 |
| 1487809372 | Loran Dax Sant | Massage Therapist | 8006 S 1300 E, Sandy, UT 84094-0743 | 2008-11-19 |
| Find all providers in SANDY | ||||
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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.