Rebecca Marie Goodrich, LMP, NCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60098139 Issued in WA

Practice address

700 S Main St
Gritman Medical Center
Moscow, ID 83843-3056

Phone

(208) 883-6361

Fax

(208) 883-6452

NPI assigned

Oct 15, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255564800000",
    "number": "1164757613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3162",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838431907",
            "telephone_number": "208-310-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S MAIN ST",
            "address_2": "GRITMAN MEDICAL CENTER",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433056",
            "telephone_number": "208-883-6361",
            "fax_number": "208-883-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOODRICH",
        "first_name": "REBECCA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMP, NCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2009-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60098139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dustin Paul Gill
• Kaye Marie Girard, RPH
• Stuart Charles Goldstein
• Oswaldo Gomez
• Orlando Gonzalez Gomar
• Wendy Monique Goodrich, PA C
• Michelle Lynn Gorton, CST
• Melodie Grady, PHARMD
• Lorraine Windridge Granfield, CRNA
• Philip Allan Gray

• Massage Therapist in Moscow, ID
• Providers in Moscow, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.