KELSEY LEACH (NPI# 1750855060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750855060 |
| Entity Type | Individual |
| Full Name | KELSEY LEACH |
| Credential | LMT |
| Practice Address |
725 Se Main St Roseburg OR 97470-3982 |
| Practice Telephone | 5415148945 |
| Enumeration Date | 2019-01-20 |
| Last Update Date | 2019-01-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | LMT-21692 | OR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
725 SE MAIN ST |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97470-3982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093977746 | Stacey Elizabeth Gray | Massage Therapist | 725 Se Main St, Suite B, Roseburg, OR 97470-3938 | 2008-06-25 |
| 1093124828 | Jamie Maneha | Massage Therapist | 725 Se Main St, Roseburg, OR 97470-3933 | 2014-08-06 |
| 1457513194 | James Shawn Mccowin | Massage Therapist | 725 Se Main St, Suite B, Roseburg, OR 97470-3938 | 2008-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326547134 | Thoughtwork, LLC | Social Worker | 178 Nw Garden Valley Blvd, Roseburg, OR 97470 | 2018-02-07 |
| 1063932960 | Go Mo, LLC | Durable Medical Equipment & Medical Supplies | 627 Se Jackson St, Roseburg, OR 97470 | 2017-06-21 |
| 1497123335 | Brandi N Hamilton | Counselor | 215 S.e. Jackson, Roseburg, OR 97470 | 2015-09-09 |
| 1285031203 | Aric Fromdahl | Counselor | 215 Se Jackson, Roseburg, OR 97470 | 2014-11-20 |
| 1801292438 | Robin Knebel | Counselor | 215 Se Jackson St., Roseburg, OR 97470 | 2014-11-10 |
| 1700282415 | Samantha Marie Shelley | Counselor | 215 Se Jackson Street, Roseburg, OR 97470 | 2014-11-06 |
| 1043610660 | Cynthia Simmons | Counselor | 150 Ne Kenneth Ford Drive, Roseburg, OR 97470 | 2014-09-02 |
| 1083025431 | Toni Damewood Msn Pmhnp-bc | Nurse Practitioner | 770 Se Kane Street, Roseburg, OR 97470 | 2014-05-19 |
| 1801226196 | Denise Ingeman | Registered Nurse | 1548 South East Pine Street, Roseburg, OR 97470 | 2013-11-22 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| Find all providers in zip 97470 | ||||
| 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 |
|---|---|---|---|---|
| 1710355417 | Justin Brandmeier I | Massage Therapist | 849 Se Mosher Ave, Roseburg, OR 97470-3961 | 2015-09-11 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1720417983 | Sheila Kristine Mcdowell | Massage Therapist | 1610 Ne Vine St Ste 2, Roseburg, OR 97470-1517 | 2013-11-07 |
| 1245673144 | Tammy J Still | Massage Therapist | 1701 W Harvard Ave, Suite 204, Roseburg, OR 97471-2716 | 2013-04-10 |
| 1356606909 | Carla Junette Rambel | Massage Therapist | 566 S.e. Jackson, Roseburg, OR 97470 | 2012-07-10 |
| 1710200159 | Karri Laine Bailey | Massage Therapist | 358 Se Claire St, Roseburg, OR 97470-3759 | 2010-03-11 |
| 1710217807 | Lois C Jones-keller | Massage Therapist | 5239 Lance St, Roseburg, OR 97471-4755 | 2010-01-12 |
| 1417105248 | Shannon Mcginnis-aitken | Massage Therapist | 722 Se Jackson St, Roseburg, OR 97470-3933 | 2008-09-04 |
| 1093977746 | Stacey Elizabeth Gray | Massage Therapist | 725 Se Main St, Suite B, Roseburg, OR 97470-3938 | 2008-06-25 |
| 1487023891 | Applied Therapeutics Inc | Massage Therapist | 849 Se Mosher Ave, Roseburg, OR 97470-3961 | 2015-09-16 |
| Find all providers in ROSEBURG | ||||
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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.