TYLER JAMES PINCOCK


Address: 1110 S Boulevard, Idaho Falls, ID 83402-4033
Phone: 2082703358

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MAS-2570 ID Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 1110 S BOULEVARD
City IDAHO FALLS
State ID
Zip Code 83402-4033

Providers in the same zip code

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 Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City IDAHO FALLS
Zip Code 83402

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Dataset Information

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.

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