Tammy Dee Jurchen, L.M.T.
Individual provider Active NPI Massage Therapist · Wellsburg, IA
NPI 1679970404 · NPPES record last updated Nov 21, 2014
Key facts
- NPI
- 1679970404
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 007119 (IA)
- Practice address
- 405 N Adams St
Wellsburg, IA 50680-7810 - Phone
- (641) 373-7028
- NPI assigned
- Nov 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007119 | IA | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 007119 | IA | Yes |
Addresses
Primary practice location
405 N Adams St
Wellsburg, IA 50680-7810
Mailing address
405 N Adams St
Wellsburg, IA 50680-7810
Phone (641) 373-7028
Other providers in Wellsburg, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 21, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.