MRS. COREY IONE BURGESS (NPI# 1770960890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770960890 |
| Entity Type | Individual |
| Full Name | MRS. COREY IONE BURGESS |
| Other Name | MISS COREY IONE JACKSON |
| Practice Address |
1845 Highway 126 Ste A Florence OR 97439-9626 |
| Mailing Address |
8220 171st Ave Ne Redmond WA 98052-3924 |
| Practice Telephone | 5415907534 |
| Mailing Telephone | 4258910332 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 24788 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225700000X | Massage Therapist | MA60560728 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | LMT | 24788 | 01 |
| WA | LMT | MA60560728 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2112 116th Ave Ne, Suite 101, Bellevue, WA 980043038 | 4256350495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063646610 | Corey A Burgess | Contractor | 3236 Hwy 15 S, Sumter, SC 29150-9657 | 2009-05-12 |
| Street Address |
1845 HIGHWAY 126 STE A |
| City | FLORENCE |
| State | OR |
| Zip Code | 97439-9626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245851799 | Sunrise Healing Arts LLC | Massage Therapist | 1845 Highway 126 Ste A, Florence, OR 97439-9626 | 2020-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586488 | Kelcie-may S Toledo | Pharmacist | 700 Us-101, Florence, OR 97439 | 2020-04-02 |
| 1144875444 | Steven Mee | Dentist | 1225 Us - 101, Florence, OR 97439 | 2019-08-05 |
| 1164944351 | Karie James | Massage Therapist | 2010 11th St, Florence, OR 97439 | 2017-07-10 |
| 1205266046 | Deborah Lynne Grigsby | Counselor | 1490 1st Street, Unit #1, Florence, OR 97439 | 2013-11-14 |
| 1811247398 | Luke Henry | Occupational Therapist | 1951 East 21st Street, Florence, OR 97439 | 2012-09-12 |
| 1144589102 | Ryan Charles Korando | Denturist | 1705 22nd Street, Florence, OR 97439 | 2012-05-11 |
| 1568728640 | Deborah Lynn Pasternak | Massage Therapist | 1495 8th Street, Suite C, Florence, OR 97439 | 2012-04-03 |
| 1275844185 | Serena Appel | Counselor | 1525 12th St Ste 8, Florence, OR 97439 | 2010-06-24 |
| 1669702056 | Monarch Medical Group LLC | Clinic/Center | 2775 Hwy 101, Suite B, Florence, OR 97439 | 2010-01-06 |
| 1871722231 | Aen Brauer | Social Worker | 1445 W 8th St, Florence, OR 97439 | 2009-07-07 |
| Find all providers in zip 97439 | ||||
| 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 |
|---|---|---|---|---|
| 1912516527 | Mary Frances Hasekoester | Massage Therapist | 9910 Berberich Dr Unit C, Florence, KY 41042-3220 | 2020-07-29 |
| 1093347916 | Leslie M Shaw | Massage Therapist | 75 Cavalier Blvd Ste 222, Florence, KY 41042-3959 | 2020-02-08 |
| 1033606140 | Nicole Houtz | Massage Therapist | 1512 W 3rd St, Florence, CO 81226-9412 | 2018-04-16 |
| 1164944351 | Karie James | Massage Therapist | 2010 11th St, Florence, OR 97439 | 2017-07-10 |
| 1326577214 | Leroy Tart Jr. | Massage Therapist | 608 Gregg Ave, Florence, SC 29501-4317 | 2017-06-05 |
| 1740713585 | Jennifer M Rasmussen | Massage Therapist | 1379 Rhododendron Dr, Florence, OR 97439-7405 | 2017-04-08 |
| 1497295117 | Eletha Walker | Massage Therapist | 215 Walker Smith Rd, Florence, MS 39073 | 2017-02-28 |
| 1518323005 | Michelle Hyatt | Massage Therapist | 117 S Pikes Peak Ave, Florence, CO 81226-1430 | 2016-01-13 |
| 1245604057 | Frederick Carl Guenzler | Massage Therapist | 201 Luby Lane, Florence, MT 59833 | 2015-11-17 |
| 1750750493 | Amber Wellborn | Massage Therapist | 336 Hidden Valley Rd, Florence, MT 59833-6955 | 2015-09-23 |
| Find all providers in FLORENCE | ||||
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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.