Clint Rex Burgener, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60237216 Issued in WA

Practice address

20 E Poplar St Ste 206
Walla Walla, WA 99362-3099

Phone

(509) 527-1156

Fax

(509) 522-4933

NPI assigned

Aug 31, 2011

Last updated

Aug 31, 2011By the provider in NPPES

Sex

Male

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

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

• Health Quest International

  • Rehabilitation Clinic/Center
  • Walla Walla, WA
  • NPI 1831647627
  Authorized official Same address or phone

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1477834711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53495 E BALLOU RD",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978627400",
            "telephone_number": "701-263-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E POPLAR ST STE 206",
            "city": "WALLA WALLA",
            "state": "WA",
            "postal_code": "993623099",
            "telephone_number": "509-527-1156",
            "fax_number": "509-522-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGENER",
        "first_name": "CLINT",
        "middle_name": "REX",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60237216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas G. Buchkoski, MASTER OF ARTS
• Richard Allen Buck, D.M.D.
• Cristal Henzel Buescher, FNP-C
• Jennifer Nicole Bunker
• James Buratto, M.D.
• Kathleen Marie Burgess, ARNP
• Mary Buriani, ARNP
• Chad D. Burton, O.D.
• Kenneth V Busby, B.S. / B.A.
• Sandra Kay Bushnell, M.A., CCC-SLP

• Massage Therapist in Walla Walla, WA
• Providers in Walla Walla, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.