MS. VICKIE LEE PRUITT (NPI# 1639539547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639539547 |
| Entity Type | Individual |
| Full Name | MS. VICKIE LEE PRUITT |
| Credential | LMT 5614 |
| Practice Address |
921 3rd Ave Se Albany OR 97321-3055 |
| Practice Telephone | 5419907301 |
| Mailing Telephone | 5419907301 |
| Enumeration Date | 2016-03-04 |
| Last Update Date | 2016-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 5614 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
921 3RD AVE SE |
| City | ALBANY |
| State | OR |
| Zip Code | 97321-3055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730659228 | Waverly Assisted Living, LLC | In Home Supportive Care | 2853 Salem Ave Se Ste A, Albany, OR 97321 | 2018-11-28 |
| 1558838706 | Greater Albany Public Schools 8j | Local Education Agency (LEA) | 718 Seventh Ave. Sw, Albany, OR 97321 | 2018-10-25 |
| 1396232237 | Chiho Sakamoto Gunton | Social Worker | 227 Sw 3rd Avenue, Albany, OR 97321 | 2018-04-17 |
| 1700333184 | Albany General Hospital | Clinic/Center | 534 Pleasant View Way Nw, Suite 400, Albany, OR 97321 | 2016-09-02 |
| 1811373772 | Katrin M Ridge | Pharmacist | 1010 7th Ave. Sw., Albany, OR 97321 | 2015-08-03 |
| 1720485527 | Heartsong Counseling | Counselor | 425 Sw 2nd Ave. #203, Albany, OR 97321 | 2014-11-24 |
| 1619386604 | Courtney Ann Miller | Dentist | 2815 Willetta St, Suite A-1, Albany, OR 97321 | 2014-08-05 |
| 1346664810 | Jeffrey Othniel Nordtvedt | Case Manager/Care Coordinator | 2730 Sw Pacific Boulevard, Albany, OR 97321 | 2014-02-05 |
| 1174872022 | Albany General Hospital | Internal Medicine | 631 Southwest Elm Street, Suite 200, Albany, OR 97321 | 2012-09-06 |
| 1144594532 | Russell Travis | Pharmacist | 1177 Waverly Dr, Albany, OR 97321 | 2012-03-02 |
| Find all providers in zip 97321 | ||||
| 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 |
|---|---|---|---|---|
| 1396346169 | Debra Davis | Massage Therapist | 702 Baldwin Dr Ste A, Albany, GA 31707-4027 | 2020-11-06 |
| 1205433323 | Audrey M Murphy | Massage Therapist | 214 S Washington St, Albany, KY 42602-1226 | 2020-10-01 |
| 1023621208 | Latoya Walker | Massage Therapist | 8 Park Hl Apt 9, Albany, NY 12204-2106 | 2020-08-26 |
| 1851959795 | Melissa Dillenbeck-murphy | Massage Therapist | 3315 Ermine St Se, Albany, OR 97322-5941 | 2019-06-05 |
| 1174087589 | Mary Theresa Nolan | Massage Therapist | 3523 Pacific Blvd Sw, Albany, OR 97321-7727 | 2019-01-30 |
| 1265918593 | Nicole Hedlund | Massage Therapist | 2708 Hill St Se, Albany, OR 97322-4269 | 2018-07-19 |
| 1144715392 | Jennifer Leigh Stimpson | Massage Therapist | 3147 Ne Nehalem Ave, Albany, OR 97321-9032 | 2018-06-28 |
| 1992293955 | Tiffany Timmerman | Massage Therapist | Albany Therapeutic Massage Clinic, 1534 Dawson, Rd, Albany, GA 31707 | 2018-04-25 |
| 1245789684 | Dominic Permanente | Massage Therapist | 1201 Hilltop Dr, Albany, GA 31707-3364 | 2016-09-27 |
| 1942630587 | Tonia Rose Smith | Massage Therapist | 3669 Tudor Way Se, Albany, OR 97322-6188 | 2013-11-18 |
| Find all providers in ALBANY | ||||
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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.