JORDAN K DEHARTY


Address: 333 Sw 5th St, Grants Pass, OR 97526-2509
Phone: 5415079894

JORDAN K DEHARTY (NPI# 1629680657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629680657
Entity Type Individual
Full Name JORDAN K DEHARTY
Credential LMT
Practice Address 333 Sw 5th St
Grants Pass
OR 97526-2509
Practice Telephone 5415079894
Mailing Telephone 5415079894
Enumeration Date 2020-08-20
Last Update Date 2020-08-20
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist 21792 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 333 SW 5TH ST
City GRANTS PASS
State OR
Zip Code 97526-2509

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023024262 Ryan C Baker Chiropractor 333 Sw 5th St, Suite B, Grants Pass, OR 97526-2513 2006-07-31
1619589579 Sherri L. Red Massage Therapist 333 Sw 5th St, Grants Pass, OR 97526-2509 2020-08-20
1457963324 Andrew Whitman Physical Therapist 333 Sw 5th St, Grants Pass, OR 97526-2509 2020-08-20
1154933182 Keith T Townsel Massage Therapist 333 Sw 5th St, Grants Pass, OR 97526-2509 2020-08-20
1407468440 Jessyka Vandernick Massage Therapist 333 Sw 5th St, Grants Pass, OR 97526-2509 2020-08-20
1861004723 Regina K. O'brien Massage Therapist 333 Sw 5th St, Grants Pass, OR 97526-2509 2020-08-20
1841820727 Samuel Thompson Massage Therapist 333 Sw 5th St, Grants Pass, OR 97526-2509 2020-01-20
1336203835 Ryan Baker, D.c. P.C. Chiropractor 333 Sw 5th St, Suite B, Grants Pass, OR 97526-2513 2006-12-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1205476777 Kyla M Mccormick Peer Specialist 109 Nw Manzanita Avenue, Grants Pass, OR 97526 2020-01-13
1164076469 Alicia Yvonne Hansen Counselor 1055 Clarey St., Grants Pass, OR 97526 2019-07-25
1841842598 Michael Liam Reynolds, Dds, LLC Dentist 984 Ne 8th Street, Grants Pass Oregon, Grants Pass, OR 97526 2019-07-12
1881254746 Brandi Mccrorey Counselor 418 Ne 6th Street, Suite 102, Grants Pass, OR 97526 2019-06-13
1700364502 Premier Community Supports, LLC. Day Training, Developmentally Disabled Services 1439 Ne 6th St Ste C, Grants Pass, OR 97526 2018-08-02
1821584509 Stefani Mcintyre Massage Therapist 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 2018-07-06
1114467438 Sandra P Martin Chiropractor 333 Sw 5th St. Suite B, Grants Pass, OR 97526 2017-03-06
1801347612 Maci Wageman Counselor 1215 Sw G St Grants Pass Oregon 97526, Grants Pass, OR 97526 2016-10-17
1902353907 Optimal Health of Southern Oregon, LLC Family Medicine 1600 Nw 6th St South Suite, Grants Pass, OR 97526 2016-09-07
1982150793 Tanya White Counselor 402 Nw Fstreet, Grants Pass, OR 97526 2016-08-31
Find all providers in zip 97526

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023656659 Wesley William Molsberry Massage Therapist 1051 Ne 6th St Ste B, Grants Pass, OR 97526-1190 2019-12-13
1780230698 Beth Warren Massage Therapist 315 Se 7th St Ste B, Grants Pass, OR 97526-3002 2019-08-15
1356807168 Jessica Dawn Rousseau Massage Therapist 202 Redwood Hwy, Grants Pass, OR 97527-5454 2019-02-17
1740750991 Mckenzie Lee Millette Massage Therapist 111 Sw H St # 8, Grants Pass, OR 97526-2505 2018-11-30
1235606229 Anthony River Monize Massage Therapist 124 Nw D St, Grants Pass, OR 97526-2008 2018-10-28
1669957296 Alix Michele Marmulstein Massage Therapist 220 Se H St Ste 5, Grants Pass, OR 97526-3025 2018-09-28
1821584509 Stefani Mcintyre Massage Therapist 1590 Se N Street, Warehouse #1574, Grants Pass, OR 97526 2018-07-06
1003311499 Valerie Schlaht Massage Therapist 220 Se H St Ste 5b, Grants Pass, OR 97526-3025 2018-03-27
1720501026 Kelly Bates Massage Therapist 501 Cheney Creek Rd, Grants Pass, OR 97527 2017-07-19
1639608474 Malialani Burton Massage Therapist 304 Ne Agness Ave, Grants Pass, OR 97526-7902 2017-06-06
Find all providers in GRANTS PASS

Competitor

Search similar providers

City GRANTS PASS
Zip Code 97526

Improve Information

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Dataset Information

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.

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