Tracy Ann Burkholder in Portland - Massage Therapist

Tracy Ann Burkholder - NPI 1578622932

Tracy Ann Burkholder is a Massage Therapist in Portland, Oregon. Tracy Ann Burkholder practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Tracy Ann Burkholder is 1578622932. The last update date is 2007-07-08.

Tracy Ann Burkholder's current location address is 1416 Se 49th Ave, Portland, Oregon. You can contact this provider via phone number 5032337404. The mailing address for Tracy Ann Burkholder is 1416 Se 49th Ave, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Tracy Ann Burkholder
Address 1416 Se 49th Ave, Portland, Oregon
Phone Number 5032337404
Fax Number
Sole Proprietor Y
Credentials LMT

NPI Number Detail

NPI Number 1578622932
Provider Enumeration Date 2006-12-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1416 Se 49th Ave
City Portland
State Oregon (OR)
Post Code 972152531
Phone Number 5032337404
Fax Number

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No 5771
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.

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FAQs about Tracy Ann Burkholder

What is the unique 10-digit identifier code assigned to Tracy Ann Burkholder by the Centers for Medicare & Medicaid Services?

The Tracy Ann Burkholder has been issued the NPI (National Provider Identifier) 1578622932 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Tracy Ann Burkholder located?

The Tracy Ann Burkholder is located at 1416 Se 49Th Ave, Portland, OR 972152531.

What is the Tracy Ann Burkholder's specialty and taxonomy code?

The Tracy Ann Burkholder's specialty is Massage Therapist, and the corresponding taxonomy code is 225700000X.

On what date was the 1578622932 assigned to Tracy Ann Burkholder?

The Tracy Ann Burkholder was issued its 1578622932 on 2006-12-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Tracy Ann Burkholder most recently updated?

The details pertaining to the Tracy Ann Burkholder, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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