JESSICA MARIE GRANDORFF (NPI# 1255963856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255963856 |
| Entity Type | Individual |
| Full Name | JESSICA MARIE GRANDORFF |
| Credential | LMT |
| Practice Address |
1637 S Market Blvd Chehalis WA 98532-3826 |
| Mailing Address |
Po Box 1127 Napavine WA 98565-1127 |
| Practice Telephone | 3608809022 |
| Mailing Telephone | 3608809022 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA61035639 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1637 S MARKET BLVD |
| City | CHEHALIS |
| State | WA |
| Zip Code | 98532-3826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972632081 | Randall William Miller | Chiropractor | 1637 S Market Blvd, Chehalis, WA 98532-3826 | 2007-03-05 |
| 1417596735 | Wilson Chiropractic LLC | Chiropractor | 1637 S Market Blvd, Chehalis, WA 98532-3826 | 2020-01-03 |
| 1679117428 | Justin Wilson | Chiropractor | 1637 S Market Blvd, Chehalis, WA 98532-3826 | 2019-11-05 |
| 1356561492 | Kathleen P Moore | Specialist | 1637 S Market Blvd, Chehalis, WA 98532-3826 | 2007-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140832 | Joshua Russell Wachter | Registered Nurse | 275 W. Vine St., Napavine, WA 98532 | 2020-09-28 |
| 1891339123 | Dara Casey | Technician | 271-1 Romerman Rd, Chehalis, WA 98532 | 2019-10-30 |
| 1265997704 | April D Bacongco | Counselor | 500 Se Washington St, Chehalis, WA 98532 | 2019-02-08 |
| 1235610155 | Alyssa Dawn Ware | Physical Therapist | 1441 Kresky Ave, Chehalis, WA 98532 | 2018-08-28 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1043709314 | Kevin Bumatay Duran | Family Medicine | 931 S. Market Blvd, Chehalis, WA 98532 | 2018-05-02 |
| 1164922324 | William I. Mcmillan | Counselor | 121 Nw Chehalis St., Chehalis, WA 98532 | 2018-02-14 |
| 1285155366 | Great Rivers Behavioral Health Organization | Community/Behavioral Health | 57 W Main Street, Suite 260, Chehalis, WA 98532 | 2017-06-29 |
| 1396273637 | Misty Anne Glenn | Counselor | 121 Nw Chehalis Ave, Chehalis, WA 98532 | 2017-05-31 |
| 1841726221 | Dodi Forgione | Counselor | 2401 Ne Kresky Ave Ste D, Chehalis, WA 98532 | 2017-05-04 |
| Find all providers in zip 98532 | ||||
| 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 |
|---|---|---|---|---|
| 1073114815 | Michael Paul Frietze | Massage Therapist | 519 Sw Cascade Ave, Chehalis, WA 98532-3213 | 2020-11-06 |
| 1366087454 | Shelby Ryan Briggs | Massage Therapist | 34 Ne Boistfort St Ste 104, Chehalis, WA 98532-2600 | 2019-11-12 |
| 1326406356 | Kelsea Linnae Fowler | Massage Therapist | 267 Se Washington Ave Apt 304, Chehalis, WA 98532-3070 | 2016-02-04 |
| 1679971568 | Jalene Smith | Massage Therapist | 2530 Ne Kresky Ave Ste B, Chehalis, WA 98532-2406 | 2014-12-09 |
| 1881002426 | Jana Sorsen | Massage Therapist | 1817 South Market Blvd, Moeckel Chiropractic, Chehalis, WA 98532 | 2014-07-28 |
| 1568893816 | Wendy Talley | Massage Therapist | 1606 N Fork Rd, Chehalis, WA 98532-9420 | 2013-12-11 |
| 1649552100 | Michelle Sauter | Massage Therapist | 2371 G2 Jackson Hwy, Chehalis, WA 98532 | 2011-09-12 |
| 1760706972 | Janelle N Beck | Massage Therapist | 272 Nw Park St, Chehalis, WA 98532-2023 | 2010-03-16 |
| 1265769269 | Cindy Nelson | Massage Therapist | Chehalis Market Square, 34 N. E. Boisfort # 110, Chehalis, WA 98532 | 2009-11-11 |
| 1629298559 | Valinda J Gordon | Massage Therapist | 462 N Market Blvd, Chehalis, WA 98532-2628 | 2007-04-25 |
| Find all providers in CHEHALIS | ||||
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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.