Tamara Rachelle Luck, LIC. MASSAGE THERAPI

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2009007249 Issued in MO

Practice address

303 S East St
Edina, MO 63537-1543

Phone

(660) 342-4244

NPI assigned

Oct 28, 2009

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

• Ms. Tamara Rachelle Luck Professional 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": "1256688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417996800000",
    "number": "1992031835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S EAST ST",
            "city": "EDINA",
            "state": "MO",
            "postal_code": "635371543",
            "telephone_number": "660-342-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S EAST ST",
            "city": "EDINA",
            "state": "MO",
            "postal_code": "635371543",
            "telephone_number": "660-342-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUCK",
        "first_name": "TAMARA",
        "middle_name": "RACHELLE",
        "name_prefix": "Ms.",
        "credential": "LIC. MASSAGE THERAPI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-28",
        "last_updated": "2014-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2009007249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "LUCK",
            "middle_name": "RACHELLE",
            "prefix": "MS.",
            "credential": "NAIL TECHNICIAN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Knox County Health Department
• Knox County Nursing Home District
• Knox County Nursing Home District
• Knox County R-I School District
• Lisa M. Bosch, DMD, LLC
• Melissa Dawn McCauley, LPC
• Northeast Missouri Health Council, Inc.
• Kelsey Marie Ockenfels
• Tabitha Sarah Rohr, NP-C
• Beth M Schrage, RNCSFNP

• Massage Therapist in Edina, MO
• Providers in Edina, MO by specialty
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2014; 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.