GRANDE RONDE THERAPEUTIC MASSAGE (NPI# 1669687729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669687729 |
Entity Type | Organization |
Organization Name | GRANDE RONDE THERAPEUTIC MASSAGE |
Other Organization Name | PEGGY LITTLE LMT |
Practice Address |
1609 Albany St #10 La Grande OR 97850 |
Mailing Address |
Po Box 579 Elgin OR 97827 |
Practice Telephone | 5419634764 |
Mailing Telephone | 5414370865 |
Enumeration Date | 2007-05-11 |
Last Update Date | 2008-07-23 |
Authorized Official Name | MS. PEGGY LYNN LITTLE (OWNER LICENSED MASSAG THERAPIST) |
Authorized Official Telephone | 5419634764 |
Authorized Official Credential | LMT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 3427 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Other Name | Type Code |
---|---|
Peggy Little LMT | Doing Business As Name - Organization |
Street Address |
1609 ALBANY ST #10 |
City | LA GRANDE |
State | OR |
Zip Code | 97850 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336749621 | Praxis Medical Group P.C. | Clinic/Center | 2011 Fourth St., La Grande, OR 97850 | 2020-10-27 |
1730794637 | Praxis Medical Group Inc | Clinic/Center | 2011 4th Street, La Grande, OR 97850 | 2020-09-09 |
1154956233 | Ellen Faye Barlow | Nurse Practitioner | 506 Fourth St., La Grande, OR 97850 | 2020-03-09 |
1811479991 | Kyle Jacob Roxby | Pharmacist | 2122 Island Avenue, #201, La Grande, OR 97850 | 2018-09-05 |
1093296519 | Grande Ronde Hospital, Inc. | Clinic/Center | 10303 S Walton Rd, La Grande, OR 97850 | 2018-08-23 |
1073050795 | Dana Marie Gaerke | Occupational Therapist | Parkway Therapies: La Grande Health and Rehab, 91 Aires Lane, La Grande, OR 97850 | 2017-01-20 |
1114393998 | Rachel Marie Gazeley | Dental Hygienist | 1507 4th Street, La Grande, OR 97850 | 2015-08-17 |
1104227297 | Sarah Blackwood | Pharmacist | 2212 Island Ave, La Grande, OR 97850 | 2014-09-09 |
1669890158 | Jean Mckern | Counselor | 902-a Sixth Street, La Grande, OR 97850 | 2014-04-01 |
1629333976 | Robert Caleb Mcilmoil | Physical Therapist | 570 8th Street, Eligin, OR 97850 | 2012-07-11 |
Find all providers in zip 97850 |
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 |
---|---|---|---|---|
1841717683 | Dalynne Folsom | Massage Therapist | 1108 J Ave, La Grande, OR 97850-2073 | 2017-08-23 |
1891146064 | Esmina I Evstropova | Massage Therapist | 2205 Adams Ave, La Grande, OR 97850-3409 | 2016-06-28 |
1235430547 | Rachelle D Winterton | Massage Therapist | 1910 Cedar St, La Grande, OR 97850-1680 | 2010-11-03 |
1568609170 | Catherine Perez | Massage Therapist | 906 Washington Ave, La Grande, OR 97850-2225 | 2009-01-20 |
1720296833 | Mary Ann Ray | Massage Therapist | 1617 4th St, La Grande, OR 97850-2505 | 2007-05-21 |
1437162401 | John Lauren Combe | Massage Therapist | 1002 4th St, La Grande, OR 97850-2102 | 2006-08-14 |
1497264428 | Elizabeth Kathleen Ford | Massage Therapist | 1704 Adams Ave, La Grande, OR 97850-2914 | 2017-09-21 |
1790027365 | Peggy Renee Jones | Massage Therapist | 1704 Adams Ave, La Grande, OR 97850-2914 | 2013-03-21 |
1932400017 | William Kade Casciato | Massage Therapist | 2008 3rd St Ste B, La Grande, OR 97850-2200 | 2010-11-05 |
1063612612 | Kelly Skovlin | Massage Therapist | 1617 4th St, La Grande, OR 97850-2505 | 2007-07-23 |
Find all providers in LA GRANDE |
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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.