Corine Tilson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

4660 Issued in ID

Practice address

1070 N Russell St
Missoula, MT 59808-2004

Phone

(406) 541-8888

NPI assigned

Feb 26, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Krieg Chiropractic Center, Inc

  • Chiropractor
  • Missoula, MT
  • NPI 1831367374
  NPD
• Active Life Chiropractic, LLC

  • Chiropractor
  • Missoula, MT
  • NPI 1841688116
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645833600000",
    "number": "1124774294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 313",
            "city": "SAINT REGIS",
            "state": "MT",
            "postal_code": "598660313",
            "telephone_number": "808-747-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 N RUSSELL ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598082004",
            "telephone_number": "406-541-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILSON",
        "first_name": "CORINE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-26",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "4660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Andrew Tiede
• Paul Tiede
• Susan Bon Tiede, D.D.S.
• Tigris Nephrology PLLC
• Amber J Tillett
• Tim Cordial PT PC
• Timberview Family Psychiatry, PLLC
• Time to Thrive PLLC
• Timothy F. Burke, M.D. P. C.
• Kristen Heather Tinervin

• Massage Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Massage Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.