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Deactivated NPI 1255740403 Deactivated / Inactive NPI Female Practitioner

Anne Marie Eickstadt , LMT

Massage Therapist • Union, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Anne Eickstadt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 12, 2014
NPI Deactivation Date July 06, 2023
Total Practice Duration ~9 Years of Practice (2014 – 2023)

Professional Overview & Biography Verified Profile Summary

Anne Eickstadt, LMT was a registered Massage Therapist practicing in Union, IL. Throughout an active medical career spanning 9 years, Anne Eickstadt provided care at the practice location at 6422 WAYNE ST until profile deactivation on 2023-07-06.

Practice Location & Contact Primary Location

Practice Address

6422 Wayne St

Union, IL 601809712

Telephone 8153829857

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Union, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Union, IL (1467 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License IL 227.002029

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated July 06, 2023

Record deactivated on July 06, 2023

NPI Profile Active August 12, 2014

NPI status registered as active in NPPES database

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Updated Practice Location August 12, 2014

Registered at 6422 WAYNE ST, UNION, IL 601809712 (Tel: 8153829857)

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Updated Business Mailing Address August 12, 2014

Registered at PO BOX 27, 6422 WAYNE STREET, UNION, IL 601800027 (Tel: 8153829857)

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Provider Name / Credentials Updated August 12, 2014

Recorded as ANNE EICKSTADT, LMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2014

Massage Therapist (License #227.002029 in IL)

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Initial NPI Registration & Enumeration August 12, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255740403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2014
Last Update: August 12, 2014
Deactivation Date: July 06, 2023

Mailing Address

Po Box 27, 6422 Wayne Street

Union, IL 601800027

Phone: 8153829857

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.