MR. GREGORY WILLIAM JOLLY (NPI# 1821339847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821339847 |
| Entity Type | Individual |
| Full Name | MR. GREGORY WILLIAM JOLLY |
| Credential | L.M.T. |
| Practice Address |
8320 W Bluemound Rd Wauwatosa WI 53213-3367 |
| Mailing Address |
5653 N Stanton Dr Glendale WI 53209-4357 |
| Practice Telephone | 4143023800 |
| Mailing Telephone | 4142383229 |
| Enumeration Date | 2013-03-15 |
| Last Update Date | 2013-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 821-146 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
8320 W BLUEMOUND RD |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53213-3367 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215987128 | Danish S Siddiqui | Obstetrics & Gynecology | 8320 W Bluemound Rd, Wauwatosa, WI 53213-3367 | 2006-05-11 |
| 1336567437 | Laura M Harrigan | Chiropractor | 8320 W Bluemound Rd, Wauwatosa, WI 53213-3367 | 2014-04-04 |
| 1407289200 | Denise Elizondo | Family Medicine | 8320 W Bluemound Rd, Ste 125, Wauwatosa, WI 53213-3367 | 2013-08-15 |
| 1427300631 | Sally A Luthi | Nurse Practitioner | 8320 W Bluemound Rd, Wauwatosa, WI 53213-3367 | 2012-10-11 |
| 1538350525 | Bo Kui Feng | Acupuncturist | 8320 W Bluemound Rd, Wauwatosa, WI 53213-3367 | 2007-08-06 |
| 1033300207 | Michael J Culotti | Social Worker | 8320 W Bluemound Rd, Wauwatosa, WI 53213-3367 | 2007-08-05 |
| 1760690382 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 8320 W Bluemound Rd, #125a, Wauwatosa, WI 53213-3367 | 2007-05-18 |
| 1720143837 | Jack M Alloy | Chiropractor | 8320 W Bluemound Rd, Suite 125a, Wauwatosa, WI 53213-3367 | 2006-12-27 |
| 1790892040 | Kristen H Reynolds | Family Medicine | 8320 W Bluemound Rd, #125, Wauwatosa, WI 53213-3367 | 2006-08-24 |
| 1881701340 | Paul M Maes | Family Medicine | 8320 W Bluemound Rd, #125, Wauwatosa, WI 53213-3367 | 2006-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932682473 | Tracy A Bolton | Nurse Practitioner | 2626 N 76th St Ste 101, Wauwatosa, WI 53213 | 2018-09-11 |
| 1609309129 | Anupriya Dayal | Student in an Organized Health Care Education/Training Program | 7700 Portland Avenue, #227, Milwaukee, WI 53213 | 2017-04-11 |
| 1407202666 | Michael Lenz | Dentist | 1221 N 62nd Street, 201, Wauwatosa, WI 53213 | 2016-05-06 |
| 1164807889 | Myia Mitchell | Massage Therapist | 6012 W. North Avenue, Milwaukee, WI 53213 | 2015-07-23 |
| 1518369420 | Rachel Rakow | Speech-Language Pathologist | 1009 N 92nd St, Wauwatosa, WI 53213 | 2014-09-23 |
| 1821348335 | Mary Kathryn Maxey | Dietitian, Registered | 1515 Mower Court, Wauwatosa, WI 53213 | 2012-09-12 |
| 1134478506 | Andrea Brooke Moosreiner | Dietitian, Registered | 7220 Milwaukee Ave, Wauwatosa, WI 53213 | 2012-08-31 |
| 1467726075 | Stephanie Miller | Social Worker | 2618 N 61st St, Milwaukee, WI 53213 | 2012-02-28 |
| 1396013447 | Ng Enterprise, Inc. | Home Health | 7635 West Bluemound Road, Suite 1b, Milwaukee, WI 53213 | 2011-12-05 |
| 1184908162 | Lisa Anne Behlmer | Pharmacist | 6600 W. State St, Wauwatosa, WI 53213 | 2011-10-07 |
| Find all providers in zip 53213 | ||||
| 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 |
|---|---|---|---|---|
| 1003422569 | Reeyanana Salet Cha | Massage Therapist | 12201 W Burleigh St Ste 6, Wauwatosa, WI 53222-3102 | 2020-09-21 |
| 1851787501 | Starlitha Yadav | Massage Therapist | 2949 N. Mayfair Rd. Ste 300, Wauwatosa, WI 53222 | 2015-04-09 |
| 1912152802 | Deborah Kick | Massage Therapist | 6606 W North Ave, Wauwatosa, WI 53213-2050 | 2008-11-19 |
| 1245618800 | Jennifer Lemke | Massage Therapist | 2380 N 124th St, Suite #101, Wauwatosa, WI 53226-1071 | 2015-05-14 |
| 1982978599 | Janell L Erdmann | Massage Therapist | 2900 N 117th St, Suite 130, Wauwatosa, WI 53222-4106 | 2012-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336749548 | Cindy Ann Pinnow | Massage Therapist | 443 W Main St, Waukesha, WI 53186-4612 | 2020-10-27 |
| 1114526068 | Berevon Tayshawn Wyatt | Massage Therapist | 3510 N Oakland Ave Ste 206, Milwaukee, WI 53211-2746 | 2020-10-21 |
| 1881292035 | Chrysta Beyer | Massage Therapist | 117 W Good Hope Rd, Glendale, WI 53217-3857 | 2020-10-10 |
| 1861099608 | Kaitlin Gelbmann | Massage Therapist | 920 W City Highway 16 Ste A, West Salem, WI 54669-1952 | 2020-10-05 |
| 1447867346 | Evolve Massage LLC | Massage Therapist | 1777 W Main St Ste 106, Sun Prairie, WI 53590-3100 | 2020-09-25 |
| 1174139646 | Rachel Plowman | Massage Therapist | 2911 Blue Aster Blvd, Sun Prairie, WI 53590-4691 | 2020-09-21 |
| 1659986453 | Kristin Allie Costello | Massage Therapist | S31w24757 W Sunset Dr, Waukesha, WI 53189-7014 | 2020-09-09 |
| 1073124376 | Maria Victoria Gutierrez | Massage Therapist | 2702 Monroe St Ste 110, Madison, WI 53711-1896 | 2020-08-11 |
| 1699393082 | Laura Lynn Leyh | Massage Therapist | 1907 American Dr Ste B3, Neenah, WI 54956-1236 | 2020-07-11 |
| 1821616483 | Joel Tomlinson | Massage Therapist | 410 W Mcmillan St, Marshfield, WI 54449-6015 | 2020-07-10 |
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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.