PURE MASSAGE, LLC (NPI# 1891318150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891318150 |
| Entity Type | Organization |
| Organization Name | PURE MASSAGE, LLC |
| Practice Address |
Pure Massage, LLC 11316 Davenport St Omaha NE 68154 |
| Mailing Address |
513 N 9th St Missouri Valley IA 51555-1207 |
| Practice Telephone | 4029803657 |
| Mailing Telephone | 4029803657 |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |
| Authorized Official Name | TERI L HEIN (OWNER/ LICENSED MASSAGE THERAPIST) |
| Authorized Official Telephone | 4029803657 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NE | NEBRASKA BOARD OF MASSAGE THERAPY | 2372 | 01 |
| IA | IOWA BOARD OF MASSAGE THERAPY | 094565 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Pure Massage, LLC, 421 East Erie St, Missouri Valley, IA 515555155 | 4029803657 |
| Street Address |
PURE MASSAGE, LLC 11316 DAVENPORT ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275149262 | Vervech | Counselor | 11422 Miracle Hills Drive, Suite 401, Omaha, NE 68154 | 2020-09-16 |
| 1326682592 | Andrea Dawn Degner | Counselor | 11580 W. Dodge Frontage Rd, Omaha, NE 68154 | 2019-10-31 |
| 1669035150 | Gerard Thomas IIi | Physical Therapist | Triage LLC, 12020 Pacific Street, Omaha, NE 68154 | 2019-04-19 |
| 1306311352 | Sakrx, LLC | Pharmacy | 624 N 114th St, Omaha, NE 68154 | 2018-10-05 |
| 1033622782 | Raquelle G. Rowe | Registered Nurse | 11840 Nicholas Street Suite 215, Med Staff, Omaha, NE 68154 | 2017-11-15 |
| 1336680396 | Kristi Bose | Nurse Practitioner | 11422 Miracle Hills Dr Ste 401, Omaha, NE 68154 | 2017-03-10 |
| 1326442781 | Heather Andsager | Pharmacy Technician | 13360 California Street, Omaha, NE 68154 | 2014-10-14 |
| 1073917605 | Ann Leever | Pharmacist | 505 N 155th Plaza, Omaha, NE 68154 | 2014-10-10 |
| 1689078222 | Melissa Svec | Emergency Medical Technician, Basic | 1705 N 121st St #203, Omaha, NE 68154 | 2014-10-10 |
| 1366851032 | Carrie Arnold | Pharmacy Technician | 13360 California St, Omaha, NE 68154 | 2014-08-07 |
| Find all providers in zip 68154 | ||||
| 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 |
|---|---|---|---|---|
| 1043829120 | Mary Ann Mcmichael | Massage Therapist | 12305 Gold St Ste 9, Omaha, NE 68144-2760 | 2020-07-24 |
| 1245854942 | Teri Lynn Hein | Massage Therapist | 11316 Davenport St, Omaha, NE 68154-2630 | 2020-05-29 |
| 1710528849 | Jimi Clyde Hughes | Massage Therapist | 11932 Arbor St Ste 100, Omaha, NE 68144-2986 | 2019-09-30 |
| 1861985012 | Mitch A Johnson | Massage Therapist | 1817 N 169th Plz Ste B, Omaha, NE 68118-2822 | 2018-06-12 |
| 1114438082 | Elizabeth Collette Mcguire | Massage Therapist | 1215 Leavenworth St, Omaha, NE 68102-3214 | 2017-10-19 |
| 1063923910 | Kristi S Ellis | Massage Therapist | 15805 W Maple Rd Ste 106, Omaha, NE 68116-8249 | 2017-10-18 |
| 1780121335 | Deborah Palmer | Massage Therapist | 2429 South 120th, Omaha, NE 68144 | 2017-01-20 |
| 1497103154 | Charla Jacob | Massage Therapist | 148 S 39th St, Omaha, NE 68131-3002 | 2016-06-02 |
| 1861848020 | Terry John Van Gelder | Massage Therapist | 1216 Howard St, Omaha, NE 68102-2819 | 2016-05-06 |
| 1487036281 | Jasmine Roberts | Massage Therapist | 7811 L St, 270, Omaha, NE 68127-1866 | 2015-06-29 |
| Find all providers in OMAHA | ||||
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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.