MALLORY ANN EDWARDS (NPI# 1225592850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225592850 |
| Entity Type | Individual |
| Full Name | MALLORY ANN EDWARDS |
| Credential | LMT |
| Practice Address |
223 Madrona Ave Se Salem OR 97302-4609 |
| Practice Telephone | 5038773529 |
| Mailing Telephone | 5038773529 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2019-01-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 11943 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598147191 | Mallory Edwards | Hearing Instrument Specialist | 1905 W North St, Springfield, OH 45504-2956 | 2015-06-19 |
| 1467876409 | Mallory C Edwards | Physician Assistant | 79 North St, Granville, NY 12832-1137 | 2014-02-11 |
| Street Address |
223 MADRONA AVE SE |
| City | SALEM |
| State | OR |
| Zip Code | 97302-4609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538695812 | Danica Jeanne Layne | Massage Therapist | 223 Madrona Ave Se, Salem, OR 97302-4609 | 2017-05-05 |
| 1922639152 | Tonnie Lynn Schroeder | Massage Therapist | 223 Madrona Ave Se, Salem, OR 97302-4609 | 2020-01-27 |
| 1003461153 | Riley Mitchell | Massage Therapist | 223 Madrona Ave Se, Salem, OR 97302 | 2019-08-06 |
| 1164986857 | Tanya Susanne Luckman | Massage Therapist | 223 Madrona Ave Se, Salem, OR 97302-4609 | 2019-01-26 |
| 1063994309 | Tranquil Moments LLC | Massage Therapist | 223 Madrona Ave Se, Salem, OR 97302-4609 | 2018-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952954679 | Eric Anthony Bohm | Pharmacist | 2757 22nd St. Se, Salem, OR 97302 | 2019-07-22 |
| 1598223737 | Michael Robert Martini | Counselor | 960 Liberty Rd Se Suite 120, Salem, OR 97302 | 2019-03-06 |
| 1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
| 1649762733 | Joseph Bochsler | Physical Therapist | 3220 Liberty Rd. S., Salem, OR 97302 | 2018-06-04 |
| 1922533652 | Brianne Elizabeth Sischo | Licensed Practical Nurse | 3871 Fairview Industrial Dr. Se Ste, 150, Salem, OR 97302 | 2017-05-01 |
| 1851825566 | Modern Nose Clinic LLC | Otolaryngology | 340 Vista Ave Se, Ste 100, Salem, OR 97302 | 2017-04-19 |
| 1720529803 | Nicholas Forsberg | Massage Therapist | 126 Mize Rd S, Salem, OR 97302 | 2017-03-09 |
| 1437691078 | Kimo Mahi | Specialist/Technologist, Other | 2373 Kuebler Rd. S, Salem, OR 97302 | 2016-11-14 |
| 1588113278 | New Life Family Medicine LLC | Clinic/Center | 842 Commercial Street Ne, Salem, OR 97302 | 2016-09-23 |
| 1073060117 | Susan Morag Robnett | Counselor | 912 Fir Street South, Salem, OR 97302 | 2016-09-07 |
| Find all providers in zip 97302 | ||||
| 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 |
|---|---|---|---|---|
| 1437766953 | Michael Amador | Massage Therapist | 95 Stiles Rd Ste 107, Salem, NH 03079-4805 | 2020-09-29 |
| 1528673464 | Brandy Mckeever | Massage Therapist | 156 Front St Ne, Salem, OR 97301-3479 | 2020-09-08 |
| 1114531274 | Michelle Nicole Kellogg-satrum | Massage Therapist | 1900 Hines St Se Ste 110, Salem, OR 97302-1356 | 2020-09-04 |
| 1518579481 | Stephanie Shambaugh | Massage Therapist | 456 State St Ste 110, Salem, OR 97301-3619 | 2020-08-20 |
| 1770115230 | Angela Aloisi | Massage Therapist | 1236 W Main St, Salem, VA 24153-4726 | 2020-02-12 |
| 1245874445 | Jessica Schutt | Massage Therapist | 156 Front St Ne Ste 100, Salem, OR 97301-3479 | 2019-10-30 |
| 1174185391 | Jennifer Plemons | Massage Therapist | 2685 Gilbert St S, Salem, OR 97302-5853 | 2019-07-08 |
| 1811559305 | Jordan D Hilbert | Massage Therapist | 2110 Berry St Se, Salem, OR 97302-2108 | 2019-07-03 |
| 1942865167 | Pure Massage & Spa LLC | Massage Therapist | 4155 Rickey St Se Ste 122, Salem, OR 97317-6903 | 2019-05-02 |
| 1942767553 | Crystal Vanpelt | Massage Therapist | 2111 Front St Ne Bldg 3, Salem, OR 97301-0765 | 2019-03-01 |
| Find all providers in SALEM | ||||
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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.