KATIE ANNE BENNETT (NPI# 1548745557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548745557 |
| Entity Type | Individual |
| Full Name | KATIE ANNE BENNETT |
| Practice Address |
820 Crater Lake Ave Ste 113 Medford OR 97504-6581 |
| Mailing Address |
3794 Windgate St Medford OR 97504-9163 |
| Practice Telephone | 5417701606 |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 24569 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912547274 | Katie Bennett | Pharmacist | 300 E End Blvd, Marshall, TX 75670 | 2020-01-14 |
| 1558827683 | Katie Bennett | Counselor | 237 26th St, Ogden, UT 84401-3105 | 2019-02-13 |
| 1598275117 | Katie Bennett | Speech-Language Pathologist | 1 Stevenson Dr, Lincolnshire, IL 60069-2824 | 2017-10-10 |
| 1487164091 | Katie A Bennett | Naturopath | 4783 Sw Highway 101, Lincoln City, OR 97367-1564 | 2017-10-09 |
| 1215177464 | Katie Rae Bennett | Nurse Practitioner | 1000 E Eager St, Baltimore, MD 21202-5533 | 2009-03-01 |
| 1467647628 | Katie Carol Bennett | Social Worker | 1400 N Ritter Ave, Ste 230, Indianapolis, IN 46219-3052 | 2007-09-11 |
| Street Address |
820 CRATER LAKE AVE STE 113 |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-6581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518486646 | Kirsty Joy Hicks | Massage Therapist | 820 Crater Lake Ave Ste 113, Medford, OR 97504-6581 | 2017-09-09 |
| 1265058531 | Cameron Glass | Massage Therapist | 820 Crater Lake Ave Ste 113, Medford, OR 97504-6581 | 2020-06-22 |
| 1821560699 | Colleen Collette Baehr | Massage Therapist | 820 Crater Lake Ave Ste 113, Medford, OR 97504-6581 | 2018-12-18 |
| 1962911586 | Rebekah Virginia Lavonne Durham | Massage Therapist | 820 Crater Lake Ave Ste 113, Medford, OR 97504-6581 | 2017-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| 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 |
|---|---|---|---|---|
| 1720686488 | Olivia Berryessa | Massage Therapist | 709 N Phoenix Rd, Medford, OR 97504-9488 | 2020-10-15 |
| 1922613744 | Danielle Roche | Massage Therapist | 8 Big Cone Ln, Medford, NY 11763-4229 | 2020-09-09 |
| 1437768603 | Corinna Horst | Massage Therapist | 1104 E Jackson St, Medford, OR 97504-7029 | 2020-07-23 |
| 1366064685 | Moira Jean Volz I | Massage Therapist | 718 Cardley Ave, Medford, OR 97504-6124 | 2020-05-08 |
| 1194346619 | Pricilla Madera | Massage Therapist | 1345 Center Dr Unit A, Medford, OR 97501-7945 | 2020-05-06 |
| 1497390322 | Tracy Lynn Deal | Massage Therapist | 1550 Biddle Rd Ste C, Medford, OR 97504-4691 | 2019-11-14 |
| 1265075196 | Stephanie Renee Myers | Massage Therapist | 3190 State St Ste 101, Medford, OR 97504-8498 | 2019-10-23 |
| 1720546658 | Anatrypsis Massage and Wellness | Massage Therapist | 711 E Main St Ste 16, Medford, OR 97504-7139 | 2019-03-11 |
| 1457819609 | Gordon Pilotte | Massage Therapist | 5 Boston Ave Ste B, Medford, MA 02155-6721 | 2019-03-06 |
| 1174087092 | Andrey Pravda | Massage Therapist | 2924 Seckel St, Medford, OR 97504-8150 | 2019-01-24 |
| Find all providers in MEDFORD | ||||
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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.