NPI 1124368683 MS. CARLA JEAN VANDENBURGH MASSAGE THERAPIST BELLEVILLE IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Ms. Carla Jean Vandenburgh - NPI: 1124368683

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MS. CARLA JEAN VANDENBURGH
NPI Number: 1124368683
Entity Type Code: Individual (1)
Gender: F
Credentials: MASSAGE THERAPIST
License Number: 217.011790
Business Practice Address: 1600 Lebanon Ave Ste 101
Belleville, IL - 622212491
Business Phone Number: 6189787407
Business Fax Number:
Mailing Address: 3212 Hunters Way,
BELLEVILLE
State: IL
Postal Code: 622213471
Phone Number: 6189787407
Fax Number: 6182776672
NPI Enumeration Date: 02/20/2013
NPI Last Update Date: 02/20/2013
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 225700000X
License Number: 217.011790
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Classification: Massage Therapist
Taxonomy Specialization:
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.


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