MARY GROSSO (NPI# 1326597279) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326597279 |
| Entity Type | Individual |
| Full Name | MARY GROSSO |
| Credential | LMT |
| Practice Address |
4630 River Rd N Ste A Keizer OR 97303-4648 |
| Practice Telephone | 5033042225 |
| Practice Fax Number | 5033042226 |
| Mailing Telephone | 5033042225 |
| Mailing Fax Number | 5033042226 |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2016-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 16360 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750448338 | Mary E Grosso | Social Worker | 239 Washington St Unit 39, Norwell, MA 02061-1769 | 2007-01-02 |
| Street Address |
4630 RIVER RD N STE A |
| City | KEIZER |
| State | OR |
| Zip Code | 97303-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275189532 | Justin Alessandro Tijerino | Massage Therapist | 4630 River Rd N Ste A, Keizer, OR 97303-4648 | 2019-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649750175 | Kristin Marie Barz | Behavioral Analyst | 4690 12th Ave Ne, Keizer, OR 97303 | 2018-08-15 |
| 1003359605 | Angela Rose Richard | Community Health Worker | 3410 Cherry Avenue Ne, Keizer, OR 97303 | 2016-11-30 |
| 1881146629 | Alma Denise Vera | Dental Hygienist | 5825 Shoreview Lane Ste C, Keizer, OR 97303 | 2016-10-27 |
| 1679919849 | Ramya Shyamala Kamath | Dentist | 4817 River Rd N, Keizer, OR 97303 | 2013-05-15 |
| 1356682041 | Teresa M Treinen | Physical Therapist | 190 Sandy Drive N, Keizer, OR 97303 | 2013-03-06 |
| 1598001844 | Eagle Eye Vision Care LLC | Optometrist | 4048 River Road North, Keizer, OR 97303 | 2012-12-13 |
| 1245590553 | Thora Jane Stacy | Dental Assistant | 2300 N.e. Lacncaster Dr., Salem, OR 97303 | 2012-05-21 |
| 1295028850 | Rodger Nordskog Magnuson | Pharmacist | 5452 River Road N., Keizer, OR 97303 | 2011-05-16 |
| 1326299843 | Douglas Scott Hamblin | Pediatrics | 5685 Inland Shores Way, Keizer, OR 97303 | 2008-10-02 |
| 1982870382 | Debra Kaye Lynch | Podiatrist | 4905 River Road N, Keizer, OR 97303 | 2008-05-06 |
| Find all providers in zip 97303 | ||||
| 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 |
|---|---|---|---|---|
| 1396343182 | Loretta K Bliss | Massage Therapist | 1635 Chemawa Rd Ne, Keizer, OR 97303-3639 | 2020-10-13 |
| 1942837547 | Ashley Bly | Massage Therapist | 3700 River Rd N Ste 8, Keizer, OR 97303-5657 | 2020-03-24 |
| 1790324879 | Dustin Talbott | Massage Therapist | 6395 Keizer Station Blvd Ne Ste 103, Keizer, OR 97303-2305 | 2020-01-06 |
| 1205474038 | Kavika Ulrey | Massage Therapist | 3990 Cherry Ave Ne Ste 103, Keizer, OR 97303-4888 | 2019-12-11 |
| 1548821085 | Steven Timothy Roth | Massage Therapist | 3990 Cherry Ave Ne, Keizer, OR 97303-4888 | 2019-06-25 |
| 1285142976 | Morgan Marie Spangrud | Massage Therapist | 4630 River Rd. N., Suite A, Keizer, OR 97303-9730 | 2018-01-16 |
| 1437668977 | Aaron Fields | Massage Therapist | 4470 River Rd N, Keizer, OR 97303-5553 | 2017-09-27 |
| 1548614639 | Skyler Arnoux | Massage Therapist | 3905 River Rd N, Keizer, OR 97303-4890 | 2016-04-14 |
| 1922469659 | Billy Ray Wolf | Massage Therapist | 6629 Jacobe St Ne, Keizer, OR 97303-1193 | 2016-03-08 |
| 1063891356 | Leah Helen Derring | Massage Therapist | 473 Glynbrook St N, Keizer, OR 97303-5614 | 2015-05-20 |
| Find all providers in KEIZER | ||||
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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.