Grassroots of Spokane LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

GRASSROOTS OF SPOKANE LLC

Doing business as

Grassroots Wellness Spa and Fitness Center

Practice address

1303 S Grand Blvd
Spokane, WA 99202-1136

Phone

(509) 474-0213

Fax

(509) 315-8354

NPI assigned

Nov 25, 2009

Last updated

Nov 25, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Felisha D Pederson

Title

Billing Manager

Phone

(509) 315-5561

Specialties & licenses 1

Addresses

Other names 1

• Grassroots Wellness Spa and Fitness Center Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sabrina L Caldwell, LMP

  • Massage Therapist
  • Spokane, WA
  • NPI 1396074738
  NPD (past)
• Jeremy K Zutter, LMP

  • Massage Therapist
  • Spokane, WA
  • NPI 1902100548
  NPD (past)

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1376871657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021136",
            "telephone_number": "509-474-0213",
            "fax_number": "509-315-8354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 S GRAND BLVD",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021136",
            "telephone_number": "509-474-0213",
            "fax_number": "509-315-8354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRASSROOTS OF SPOKANE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "PEDERSON",
        "authorized_official_first_name": "FELISHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "509-315-5561"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grassroots Wellness Spa and Fitness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elissa Kaelynn Grant, PEER SUPPORT SPECIAL
• Jenna Grant
• Mindy Grant, RN
• Susan E Grant, BSN, RN
• Camille Granum, LMHCA
• Grassroots Therapy Group LLC
• Bret Wayne Gravatt, RPH
• David Lyle Graves, N.D.
• Devon Graves, PA-C
• Gordon James Graves, VOC REHAB SPECIALIST

• Massage Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.