MARY LYNN GRIZZELL (NPI# 1750606794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750606794 |
| Entity Type | Individual |
| Full Name | MARY LYNN GRIZZELL |
| Credential | LMP |
| Practice Address |
133 S College Ave Ste 101 College Place WA 99324-1193 |
| Mailing Address |
2928 Detour Rd Walla Walla WA 99362-7278 |
| Practice Telephone | 5095272425 |
| Practice Fax Number | 5095272426 |
| Mailing Telephone | 5093865325 |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2010-04-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA60095108 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
133 S COLLEGE AVE STE 101 |
| City | COLLEGE PLACE |
| State | WA |
| Zip Code | 99324-1193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851885107 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 1250 Se Commercial Dr, College Place, WA 99324 | 2018-06-20 |
| 1477051415 | Carrie Jean White | Counselor | 56 N College Ave #2a, College Place, WA 99324 | 2018-01-24 |
| 1952824658 | Ashley Bergmann | Social Worker | 1928 George Washington Way, Apt L1, Richland, WA 99324 | 2017-07-25 |
| 1376081224 | Ariel Anderson | Registered Nurse | 1755 College Ave, College Place, WA 99324 | 2017-02-10 |
| 1770926644 | Richard Kearns | Registered Nurse | 800 Se Sentry Dr, College Place, WA 99324 | 2013-04-10 |
| 1619259009 | Debra Jean Maxted | Physical Therapy Assistant | 420 Se Myra Road, College Place, WA 99324 | 2011-09-13 |
| 1740470533 | Danny R. Croft | Denturist | 1298 Se 12th Street, College Place, WA 99324 | 2007-07-27 |
| 1316059983 | Mary Ellen Hustead | Social Worker | 325 Sprucewood Place, College Place, WA 99324 | 2006-08-31 |
| 1639158264 | Elizabeth Ann Wall | Nurse Practitioner | 722 South College Avenue, College Place, WA 99324 | 2006-01-12 |
| 1013494640 | Amber Hopkins | Case Manager/Care Coordinator | 1250 Se Commercial Dr, College Place, WA 99324 | 2018-07-26 |
| Find all providers in zip 99324 | ||||
| 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 |
|---|---|---|---|---|
| 1851937205 | Nicole Marie Houk | Massage Therapist | 100 N College Ave # B, College Place, WA 99324-1015 | 2019-11-20 |
| 1932600871 | Risha Trethewey | Massage Therapist | 120 Se Mountain View Dr, College Place, WA 99324-1728 | 2018-02-26 |
| 1083257059 | Julee J Smith | Massage Therapist | 716 S College Ave, College Place, WA 99324-1519 | 2019-10-23 |
| 1417420324 | Aaron Craik | Massage Therapist | 56 N College Ave Unit 2, College Place, WA 99324-1048 | 2019-01-03 |
| 1881192391 | Rebecca Deanne Mullen | Massage Therapist | 716 S College Ave, College Place, WA 99324-1519 | 2018-01-30 |
| 1518312867 | Danelle Mcgill | Massage Therapist | 1100 S College Ave, # 3, College Place, WA 99324-4903 | 2016-04-24 |
| 1669850996 | Johanna Pewitt | Massage Therapist | 718 S College Ave, College Place, WA 99324-1519 | 2015-05-06 |
| 1326385337 | Braden Wayne Pewitt | Massage Therapist | 718 S College Ave, College Place, WA 99324-1519 | 2013-01-10 |
| 1124376264 | Andrew Richard Gately I | Massage Therapist | 718 S College Ave, College Place, WA 99324-1519 | 2012-08-21 |
| 1356629406 | Amber J Lopez | Massage Therapist | 718 S College Ave, College Place, WA 99324-1519 | 2011-07-22 |
| Find all providers in COLLEGE PLACE | ||||
| City | COLLEGE PLACE |
| Zip Code | 99324 |
Please comment or provide details below to improve the information on MARY LYNN GRIZZELL.
| 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.