Holly Gravitt, LMT26350

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

26350 Issued in OR

Practice address

621 Klamath Ave
Klamath Falls, OR 97601-6130

Phone

(541) 882-5602

NPI assigned

Jun 8, 2023

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Back to Health Chiropractic Alliance, LLC

  • Chiropractor
  • Klamath Falls, OR
  • NPI 1235173196
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1407540693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3112 BROOKLYN AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976037854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 KLAMATH AVE",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016130",
            "telephone_number": "541-882-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAVITT",
        "first_name": "HOLLY",
        "credential": "LMT26350",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "26350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Roleen Graham, MD
• Tracy Warwick Graham, MD
• Elise Rose Granath, PA-C, MPH
• Mariah Grau
• Susan Seiler Graves, BS QMHA
• James Neal Gravley, MSFP, M.ED
• Amanda Gray
• Doroteo Morelos Grayson, CRM
• Joesphine Grayson
• Marla Anne Green

• Massage Therapist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.