HEIDI BURK (NPI# 1912517525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912517525 |
| Entity Type | Individual |
| Full Name | HEIDI BURK |
| Practice Address |
206 E Indiana Ave Ste 116 Coeur D Alene ID 83814-2969 |
| Mailing Address |
6225 W Trestle St Unit 2 Rathdrum ID 83858-7263 |
| Practice Telephone | 2087553571 |
| Mailing Telephone | 2087553571 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MAS-2766 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
206 E INDIANA AVE STE 116 |
| City | COEUR D ALENE |
| State | ID |
| Zip Code | 83814-2969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477162675 | Dehra Mcfaddan | Social Worker | 211 E. Coeur D'alene Ave, 102, Coeur D Alene, ID 83814 | 2020-07-24 |
| 1043838634 | Yendi Labelle | Nurse Practitioner | 1115 N Ironwood Drive, Coeur D'alene, ID 83814 | 2020-07-09 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1306487517 | Northwest Integrated Health, LLP | Clinic/Center | 1250 West N. Northwood Center Ct, Suite B, Coeur D'alene, ID 83814 | 2019-09-30 |
| 1730740465 | Connor Williams | Physical Therapist | 1812 W Lakewood Dr, Ste. 100, Coeur D Alene, ID 83814 | 2019-06-24 |
| 1912480153 | Nadine M Lewis | Social Worker | 211 E. Coeur D'alene Ave., Coeur D'alene, ID 83814 | 2018-09-13 |
| 1992208631 | Orthopedic Surgery and Sports | Orthopaedic Surgery | 1812 N Lakewood Drive, Suite 100, Coeur D'alene, ID 83814 | 2018-03-08 |
| 1346758042 | Heather Marie Johnson | Counselor | 7905 Meadowlark Way, Cda, ID 83814 | 2018-01-16 |
| 1881113413 | Brevity Treatment Services | Counselor | 2201 N. Government Way Ste. L, Coeur D'alene, ID 83814 | 2017-09-14 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| Find all providers in zip 83814 | ||||
| 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 |
|---|---|---|---|---|
| 1346808276 | Carynne Bailey | Massage Therapist | 2005 Ironwood Pkwy Ste 220, Coeur D Alene, ID 83814-2647 | 2019-06-05 |
| 1568020451 | Misty C Keeler | Massage Therapist | 4061 Idewild Loop Unit 306, Coeur D Alene, ID 83814-7094 | 2019-06-05 |
| 1538624283 | Sarah Judge | Massage Therapist | 1104 N 4th St Ste B, Coeur D Alene, ID 83814-3217 | 2019-02-06 |
| 1336617372 | Coeur D Alene Massage School LLC | Massage Therapist | 1625 N 4th St Ste 203, Coeur D Alene, ID 83814-6178 | 2018-11-07 |
| 1023516440 | Chelsea Stillman | Massage Therapist | 3157 N Fruitland Ln, Coeur D Alene, ID 83815-8165 | 2018-01-31 |
| 1487166872 | Erika Jean Beachler | Massage Therapist | 1103 E Best Ave Ste D, Coeur D Alene, ID 83814-4878 | 2017-10-25 |
| 1366969628 | Jennifer La Gina Highfield | Massage Therapist | 1104 N Ste B, Coeur D Alene, ID 83814 | 2017-08-28 |
| 1386178390 | Briana Crotinger | Massage Therapist | 520 E Coeur Dalene Ave Rm 2, Coeur D Alene, ID 83814-2873 | 2017-04-17 |
| 1821539776 | Amanda Michele Pankratz | Massage Therapist | 708 N 20th St, Coeur D Alene, ID 83814-5506 | 2017-03-12 |
| 1235678426 | Brandi Beckedahl | Massage Therapist | 2210 W Fairway Dr, Coeur D Alene, ID 83815-8246 | 2017-02-21 |
| Find all providers in COEUR D ALENE | ||||
| City | COEUR D ALENE |
| Zip Code | 83814 |
Please comment or provide details below to improve the information on HEIDI BURK.
| 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.