MS. REBECCA MARIE GOODRICH (NPI# 1164757613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164757613 |
| Entity Type | Individual |
| Full Name | MS. REBECCA MARIE GOODRICH |
| Credential | LMP, NCTMB |
| Practice Address |
700 S Main St Gritman Medical Center Moscow ID 83843-3056 |
| Mailing Address |
Po Box 3162 Moscow ID 83843-1907 |
| Practice Telephone | 2088836361 |
| Practice Fax Number | 2088836452 |
| Mailing Telephone | 2083109375 |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2009-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60098139 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770101537 | Rebecca Goodrich | Dietitian, Registered | 1639 11th St # B-230, Santa Monica, CA 90404-3727 | 2020-07-08 |
| Street Address |
700 S MAIN ST GRITMAN MEDICAL CENTER |
| City | MOSCOW |
| State | ID |
| Zip Code | 83843-3056 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720687031 | Panhandle Anesthesia Associates of Moscow | Nurse Anesthetist, Certified Registered | 700 S Main St, Moscow, ID 83843-3046 | 2020-10-19 |
| 1962015149 | James Lee Hug | Nurse Anesthetist, Certified Registered | 700 S Main St, Moscow, ID 83843-3046 | 2020-08-26 |
| 1720616188 | Kaylee Drenker | Pharmacist | 700 S Main St, Moscow, ID 83843-3046 | 2020-03-31 |
| 1083245377 | Jill Lynn Lawrence | Massage Therapist | 700 S Main St, Moscow, ID 83843-3056 | 2020-01-27 |
| 1932769700 | Gritman Medical Center Inc | Internal Medicine | 700 S Main St, Moscow, ID 83843-3046 | 2019-06-14 |
| 1669975207 | Colleen Cochran | Pharmacist | 700 S Main St, Moscow, ID 83843-3056 | 2018-03-09 |
| 1427566751 | Duane Dale | Speech-Language Pathologist | 700 S Main St, Moscow, ID 83843-3056 | 2018-01-22 |
| 1962913061 | Lori Marie Mages | Physical Therapist | 700 S Main St, Moscow, ID 83843-3056 | 2017-10-16 |
| 1245740638 | Kristen Topliff | Physical Therapist | 700 S Main St, Moscow, ID 83843-3056 | 2017-10-11 |
| 1124547401 | Dorothy Plaza | Registered Nurse | 700 S Main St, Moscow, ID 83843-3056 | 2017-09-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726880 | Moscow Physical Therapy, LLC | Clinic/Center | 1174 Alturas Drive, Suite 2, Moscow, ID 83843 | 2020-09-25 |
| 1831703057 | Hydee Flishaw Tubbs Becker | Dietitian, Registered | 614 North Hayes Street, Moscow, ID 83843 | 2020-09-04 |
| 1528626959 | Ryan Steven Clark | Student in an Organized Health Care Education/Training Program | 212 Farm Road, #201, Moscow, ID 83843 | 2019-05-31 |
| 1770141384 | Lingwen Zhang | Specialist/Technologist | 901 Paradise Creek Rd, Moscow, ID 83843 | 2019-05-30 |
| 1306363478 | Elizabeth Campbell | Dietitian, Registered | 611 S. Main, Moscow, ID 83843 | 2017-08-29 |
| 1598285496 | Gina Cretser | Counselor | 212 Rodeo Dr. #410, Moscow, ID 83843 | 2017-06-21 |
| 1124558721 | Morgan Leigh Derloshon | Specialist/Technologist | 275 Southview Ave, Apt 206, Moscow, ID 83843 | 2017-06-15 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1407237043 | Jacob Kent Christensen | Family Medicine | 831 S Ash St, Moscow, ID 83843 | 2015-06-09 |
| 1366851388 | Elisabeth Henry | Pharmacist | 2740 West Pullman Rd, Moscow, ID 83843 | 2014-08-04 |
| Find all providers in zip 83843 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447899562 | Alyssa Foster Hansen | Massage Therapist | 116 E 3rd St # 209, Moscow, ID 83843-4318 | 2020-01-06 |
| 1558848341 | Marion Elizabeth Teal-atwood | Massage Therapist | 127 S Washington St Ste 6, Moscow, ID 83843-2866 | 2018-07-24 |
| 1679078273 | Paula Jo Nygaard | Massage Therapist | 111 N Washington St Ste 7, Moscow, ID 83843-2884 | 2018-03-26 |
| 1619411790 | Kaylene Howard | Massage Therapist | 127 South Washington, Suite 6, Moscow, ID 83843 | 2016-12-08 |
| 1184086845 | Brookeanne Gregory | Massage Therapist | 1008 E 7th St, Moscow, ID 83843-3711 | 2016-03-22 |
| 1083245377 | Jill Lynn Lawrence | Massage Therapist | 700 S Main St, Moscow, ID 83843-3056 | 2020-01-27 |
| 1083274674 | Lila M Witter | Massage Therapist | 872 Troy Rd Ste 170, Moscow, ID 83843-4046 | 2019-06-17 |
| 1639630601 | Bethany Anne Howell | Massage Therapist | 127 S Washington St Ste 6, Moscow, ID 83843-2866 | 2019-03-30 |
| 1003372384 | Michele Murphy | Massage Therapist | 804 S Washington St, Moscow, ID 83843-3182 | 2019-02-12 |
| 1154878015 | Healing Hands Massage Clinic, LLC | Massage Therapist | 872 Troy Rd Ste 170, Moscow, ID 83843-4046 | 2016-09-07 |
| Find all providers in MOSCOW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.