MS. TAMARA RACHELLE LUCK (NPI# 1992031835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992031835 |
| Entity Type | Individual |
| Full Name | MS. TAMARA RACHELLE LUCK |
| Other Name | MS. TAMARA RACHELLE LUCK |
| Credential | LIC. MASSAGE THERAPI |
| Practice Address |
303 S East St Edina MO 63537-1543 |
| Practice Telephone | 6603424244 |
| Mailing Telephone | 6603424244 |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2014-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2009007249 | MO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679044291 | Tamara Luck | Dietitian, Registered | 577 Main St, Waltham, MA 02452-5527 | 2018-12-07 |
| Street Address |
303 S EAST ST |
| City | EDINA |
| State | MO |
| Zip Code | 63537-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093186579 | Hannah Katherine Dale | Physical Therapy Assistant | 55774, 6 State Hwy D, Edina, MO 63537 | 2015-10-09 |
| 1962840777 | Angela M Bronestine | Occupational Therapist | 55774 Mo-6, Edina, MO 63537 | 2013-06-13 |
| 1174643332 | Knox County Ambulance District | Ambulance | 610 East Lafayette Street, Rr3 Box 30a, Edina, MO 63537 | 2007-03-30 |
| 1811168107 | Nancy Alice Brandl | Licensed Practical Nurse | 106 4th Ave No, Fergus Falls, MN 63537-1034 | 2008-03-14 |
| 1871574210 | Knox County Health Department | Public Health or Welfare | 207 N 1st St, Edina, MO 63537-1127 | 2005-11-11 |
| 1417469537 | Knox County Health Department | Public Health or Welfare | 102 W Monticello St, Edina, MO 63537-1150 | 2017-10-30 |
| 1114276532 | Knox County Pharmacy LLC | Pharmacy | 105 E Reid St Ste C, Edina, MO 63537-1155 | 2012-08-30 |
| 1023094240 | Beth M Schrage | Nurse Practitioner | 100 E Jackson St, Edina, MO 63537-1335 | 2005-12-20 |
| 1881730893 | Northeast Missouri Health Council, Inc. | Family Medicine | 104 E Jackson St, Edina, MO 63537-1335 | 2007-01-29 |
| 1437423100 | Hrw, Inc. | Psychiatric Residential Treatment Facility | 300 N Main St, Edina, MO 63537-1353 | 2012-02-28 |
| Find all providers in zip 63537 | ||||
| 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 |
|---|---|---|---|---|
| 1821388026 | Chollada Morpan Phan | Massage Therapist | 1675 Southdale Ctr, Edina, MN 55435-7015 | 2011-04-09 |
| 1245770510 | Lesley Simonson | Massage Therapist | 4570 W 77th St Ste 140, Edina, MN 55435-5004 | 2017-03-06 |
| 1205375433 | Equilibrium LLC | Massage Therapist | 4570 W 77th St, Suite 140, Edina, MN 55435-5008 | 2017-02-21 |
| 1639517022 | Milly Versalles | Massage Therapist | 7300 France Ave S, Suite 300, Edina, MN 55435-4525 | 2013-06-07 |
| 1174884712 | Levi Robert Hedine | Massage Therapist | 7300 France Ave S, Suite 300, Edina, MN 55435-4525 | 2012-05-30 |
| 1225398308 | Holly Louise Walker | Massage Therapist | 7300 France Ave S, Suite 300, Edina, MN 55435-4525 | 2012-05-22 |
| 1447526736 | Heidi Huebscher | Massage Therapist | 7400 Metro Blvd, Suite #360, Edina, MN 55439-2316 | 2012-03-30 |
| 1487944195 | Maria Renee Swim | Massage Therapist | 1675 Southdale Ctr, Edina, MN 55435-7015 | 2011-04-14 |
| 1972893774 | Kanchana Bunnithi | Massage Therapist | 1675 Southdale Ctr, Edina, MN 55435-7015 | 2011-04-13 |
| 1720378706 | Ocean Waves Massage & 02 Lounge | Massage Therapist | 1675 Southdale Ctr, Edina, MN 55435-7015 | 2011-04-12 |
| Find all providers in EDINA | ||||
Please comment or provide details below to improve the information on MS. TAMARA RACHELLE LUCK.
| 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.