MISS MACKENZIE GRACE WHITLEY (NPI# 1376045120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376045120 |
| Entity Type | Individual |
| Full Name | MISS MACKENZIE GRACE WHITLEY |
| Credential | LMT, CA |
| Practice Address |
105 Talent Ave. Talent OR 97540 |
| Mailing Address |
355 Colver Rd Unit 2 Talent OR 97540-9401 |
| Practice Telephone | 5419415393 |
| Mailing Telephone | 5419415393 |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 20079 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
105 TALENT AVE. |
| City | TALENT |
| State | OR |
| Zip Code | 97540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215540398 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 102 Christian Avenue, Talent, OR 97540 | 2020-08-28 |
| 1790398048 | La Clinica Del Valle Family Healthcare Center Inc. | Clinic/Center | 307 Wagner Creek Road, Talent, OR 97540 | 2020-08-26 |
| 1578059572 | Kayla Jade Kawecki | Massage Therapist | 258 A Street, Suite 21, Talent, OR 97540 | 2018-07-03 |
| 1437596178 | Lisa Ann Robino | Counselor | 102 Christian Ave, Talent, OR 97540 | 2013-06-03 |
| 1669745972 | Jessica S Ruediger | Midwife | 211 1/2 N. First St., Talent, OR 97540 | 2012-02-16 |
| 1831493725 | Clista N. Prelle-tworek | Counselor | 523 Wagner Creek Rd, Talent, OR 97540 | 2011-01-06 |
| 1013104306 | Assisted Living Concepts Inc | Assisted Living Facility | 300 Suncrest Road, Talent, OR 97540 | 2007-10-01 |
| 1548456270 | Terise Jane Manich | Massage Therapist | 251 St Ives Dr, Talent, OR 97540 | 2007-09-17 |
| 1538376611 | Tom K. Clunie | Chiropractor | 58 Talent Avenue, Talent, OR 97540 | 2007-05-17 |
| 1720122427 | Talent Health Rx Inc | Pharmacy | 103 Talent Ave, 223, Talent, OR 97540 | 2007-02-16 |
| Find all providers in zip 97540 | ||||
| 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 |
|---|---|---|---|---|
| 1578059572 | Kayla Jade Kawecki | Massage Therapist | 258 A Street, Suite 21, Talent, OR 97540 | 2018-07-03 |
| 1669910915 | Savannah Hanson | Massage Therapist | 102 New St, Talent, OR 97540-8713 | 2017-02-07 |
| 1184074320 | Brian Shoen | Massage Therapist | 102 Lapree St, Talent, OR 97540-6002 | 2016-06-19 |
| 1386038065 | Evan Smith | Massage Therapist | 5530 Adams Rd, Talent, OR 97540-7701 | 2015-03-20 |
| 1114274685 | Kalesh Weaver | Massage Therapist | 7676 Adams Rd, Talent, OR 97540-7839 | 2012-08-14 |
| 1659630267 | Deborah (debi) Rappaport | Massage Therapist | 88 Lapree St, Talent, OR 97540-6000 | 2012-05-16 |
| 1922311885 | Tanya Dawn Owen | Massage Therapist | 108 1/2 Fairview St., Talent, OR 97540-1437 | 2010-07-21 |
| 1548456270 | Terise Jane Manich | Massage Therapist | 251 St Ives Dr, Talent, OR 97540 | 2007-09-17 |
| 1659971604 | Justin Stamper | Massage Therapist | 314 E. Main St., Talent, OR 97540 | 2020-10-29 |
| 1477166437 | Demaris Mcnamara | Massage Therapist | 105 N 3rd St, Talent, OR 97540-9756 | 2020-08-28 |
| Find all providers in TALENT | ||||
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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.