Lindsey Dornburg, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

3737 Issued in MS

Practice address

Regional Health Center, Inc.
307 Ivy Ave SE
Richmond, MN 56368-4509

Phone

(320) 321-0166

Fax

(320) 321-0167

NPI assigned

Nov 9, 2022

Last updated

Mar 16, 2023By the provider in NPPES

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

Other names 1

• Lindsey Dornburn Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1667952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1942918735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 IVY AVE SE",
            "city": "RICHMOND",
            "state": "MN",
            "postal_code": "563684509",
            "telephone_number": "320-321-0166",
            "fax_number": "320-321-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "REGIONAL HEALTH CENTER, INC.",
            "address_2": "307 IVY AVE SE",
            "city": "RICHMOND",
            "state": "MN",
            "postal_code": "563684509",
            "telephone_number": "320-321-0166",
            "fax_number": "320-321-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNBURG",
        "first_name": "LINDSEY",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-09",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MS",
            "license": "3737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSEY",
            "last_name": "DORNBURN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Massage Therapist in Richmond, MN
• Providers in Richmond, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.