MRS. LISA R BRUNNER (NPI# 1114290335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114290335 |
| Entity Type | Individual |
| Full Name | MRS. LISA R BRUNNER |
| Credential | LMT |
| Practice Address |
752 Hawthorne Ave Ne Salem OR 97301-4675 |
| Practice Telephone | 5034090760 |
| Practice Fax Number | 5039906644 |
| Mailing Telephone | 5034090760 |
| Mailing Fax Number | 5039906644 |
| Enumeration Date | 2012-02-18 |
| Last Update Date | 2013-12-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172M00000X | Mechanotherapist | 7809 | OR | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255617411 | Lisa Anne Brunner | Registered Nurse | 3900 Route 31, Liverpool, NY 13090 | 2011-11-01 |
| 1386994820 | Lisa Brunner | Speech-Language Pathologist | 2314 E Buck Rd, Pennsburg, PA 18073-2327 | 2012-09-12 |
| Street Address |
752 HAWTHORNE AVE NE |
| City | SALEM |
| State | OR |
| Zip Code | 97301-4675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285791970 | Christina M Torres | Chiropractor | 752 Hawthorne Ave Ne, Salem, OR 97301-4675 | 2007-01-02 |
| 1467996652 | Lana Jean | Specialist | 752 Hawthorne Ave Ne, Salem, OR 97301-4675 | 2016-12-07 |
| 1497045132 | Michelle Elizabeth Fajer | Massage Therapist | 752 Hawthorne Ave Ne, Salem, OR 97301-4675 | 2011-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450970 | Jehan Seals | Behavior Technician | 3400 State St Set G750, Salem, OR 97301 | 2020-05-29 |
| 1093335929 | Sterling Recovery, LLC | Dietitian, Registered | 3758 Amber St Ne #105, Salem, OR 97301 | 2020-04-21 |
| 1760018360 | Riverfront Mental Health LLC | Counselor | 338 State St, Suite 985, Salem, OR 97301 | 2020-03-16 |
| 1871126888 | Amity Beth Haddon Maxwell | Social Worker | Oregon State Hospital, 2600 Center St Ne, Salem, OR 97301 | 2020-02-18 |
| 1861042632 | Brenda Grizelda Vargas | Behavioral Analyst | 3400 State Ste Ste G750, Salem, OR 97301 | 2019-09-13 |
| 1588213177 | Natalie Stone | Registered Nurse | 2045 Siverton Rd Ne, Salem, OR 97301 | 2019-09-06 |
| 1588228720 | Jeramy Disenso | Counselor | 270 Cottage St Ne, Salem, OR 97301 | 2019-04-23 |
| 1801353297 | Gwendolyn Kersey | Registered Nurse | 2600 Center St Ne Oregon State Hospital, Salem, OR 97301 | 2019-02-21 |
| 1841769114 | Spine Clinic PC | Massage Therapist | 1281 Lancaster Drive Ne, Salem, OR 97301 | 2018-11-16 |
| 1013482132 | Kellie Linn Hansen | Physical Therapist | 4049 Market St Se, Salem, OR 97301 | 2018-10-04 |
| Find all providers in zip 97301 | ||||
| Taxonomy Code | 172M00000X |
| Grouping | Other Service Providers |
| Classification | Mechanotherapist |
| A practitioner of mechanotherapy examines patients by verbal inquiry, examination of the musculoskeletal system by hand, and visual inspection and observation. In the treatment of patients, mechanotherapists employ the techniques of advised or supervised exercise; electrical neuromuscular stimulation; massage or manipulation; or air, water, heat, cold, sound, or infrared ray therapy. |
| Notes: Source: Summarized from Ohio Revised Code 4731.15 [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003240045 | Cora Nadine Fields | Mechanotherapist | 651 High St Ne, Suite #9, Salem, OR 97301-2422 | 2013-08-27 |
| 1184968760 | Alisha Sue Clark | Mechanotherapist | 4385 Satter Pl Ne, Salem, OR 97305-4107 | 2012-11-20 |
| 1659682870 | Mark Cedarleaf | Mechanotherapist | 705 12th St Se, Salem, OR 97301-4004 | 2010-06-23 |
| 1457671828 | Vicki J. O'dea | Mechanotherapist | 2475 Lancaster Dr Ne, Suite 4, Salem, OR 97305-4268 | 2010-06-08 |
| 1982931671 | Elizabeth Jean Billman | Mechanotherapist | 525 Ferry St Se Ste 103, Salem, OR 97301-3745 | 2009-11-17 |
| 1598970550 | Michael Benjamin Sumner Sr. | Mechanotherapist | 390 Salem Heights Ave S, Salem, OR 97302-5609 | 2007-05-13 |
| 1194184028 | Steven Hope | Mechanotherapist | 1640 Lancaster Dr Ne, Salem, OR 97301 | 2016-02-20 |
| 1689961534 | Happy Spirit Healing Arts, LLC | Mechanotherapist | 830 Saginaw St S, Salem, OR 97302-4122 | 2011-06-29 |
| 1346534450 | Stephanie Marie Galver | Mechanotherapist | 233 Madrona Ave Se, Salem, OR 97302-4609 | 2011-06-06 |
| 1770893026 | Diane Davidson | Mechanotherapist | 3276 Commercial St Se, Salem, OR 97302-4584 | 2010-10-19 |
| Find all providers in SALEM | ||||
Please comment or provide details below to improve the information on MRS. LISA R BRUNNER.
| 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.