TYLER JAMES PINCOCK (NPI# 1992294565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992294565 |
Entity Type | Individual |
Full Name | TYLER JAMES PINCOCK |
Credential | BS, LMT |
Practice Address |
1110 S Boulevard Idaho Falls ID 83402-4033 |
Mailing Address |
1125 Hemlock St Idaho Falls ID 83401-2914 |
Practice Telephone | 2082703358 |
Mailing Telephone | 2085579365 |
Enumeration Date | 2018-05-09 |
Last Update Date | 2018-05-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MAS-2570 | ID | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
1110 S BOULEVARD |
City | IDAHO FALLS |
State | ID |
Zip Code | 83402-4033 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
1265041479 | Fresenius Medical Care Snake River | Clinic/Center | 3195 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-24 |
1295352391 | Fresenius Medical Care Idaho Falls, LLC | Clinic/Center | 3193 South Fork Blvd, Idaho Falls, ID 83402 | 2020-07-06 |
1952923765 | Sterling Provider Group | Clinic/Center | 7017 Daisy Lane, Idaho Falls, ID 83402 | 2020-05-14 |
1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
1154966760 | Christine Nicole Cardona | Counselor | 855 N. Captital Ave Ste 1, Idaho Falls, ID 83402 | 2019-11-07 |
1750847786 | Brandi S Warnke | Social Worker | 254 E Street, Suite B, Idaho Falls, ID 83402 | 2019-02-14 |
1013402809 | Kailey Lynn Moore | Pharmacist | 376 West 18th Street, Idaho Falls, ID 83402 | 2018-06-25 |
1407368616 | Jessica Owsley | Social Worker | 2275 W Broadway Ste G, Idaho Falls, ID 83402 | 2017-10-27 |
1427419886 | Becky Allen | Developmental Therapist | 150 Shoupe Ave, Idaho Falls, ID 83402 | 2016-03-14 |
Find all providers in zip 83402 |
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 |
---|---|---|---|---|
1528604188 | Leslie Hendrian | Massage Therapist | 86 N Kaylee Circle, Idaho Falls, ID 83402 | 2019-11-19 |
1982187944 | Adam Nelson | Massage Therapist | 2450 E 25th St Ste C, Idaho Falls, ID 83404-7577 | 2018-09-14 |
1245505304 | Rhonda Evelyn Mcconomy | Massage Therapist | 482 Constitution Way, B4, Idaho Falls, ID 83402-3565 | 2012-03-21 |
1982173191 | Laura Lindsay | Massage Therapist | 2450 E 25th St Ste C, Idaho Falls, ID 83404-7577 | 2018-11-16 |
1538664651 | M'kenzi Ann Jenkins | Massage Therapist | 3345 Potomac Way, Idaho Falls, ID 83404-4978 | 2018-03-29 |
1871092874 | Selena Nickel | Massage Therapist | 2450 E 25th St, Idaho Falls, ID 83404-7577 | 2018-02-05 |
1023569217 | Leslie Markiel | Massage Therapist | 2450 E 25th St, Ste C, Idaho Falls, ID 83404-7577 | 2016-10-22 |
1477901056 | Kara Merkley | Massage Therapist | 2450 E 25th St, Ste C, Idaho Falls, ID 83404-7577 | 2016-05-24 |
1841655131 | Del Holdings, LLC | Massage Therapist | 2450 E 25th St, C, Idaho Falls, ID 83404-7577 | 2015-12-31 |
1922474097 | Rhonda Ryan | Massage Therapist | 1880 E 17th St, Idaho Falls, ID 83404-6468 | 2015-08-12 |
Find all providers in IDAHO FALLS |
City | IDAHO FALLS |
Zip Code | 83402 |
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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.