Kristen Grella
Individual provider Active NPI Massage Therapist · Edgartown, MA
NPI 1508404450 · NPPES record last updated Dec 11, 2019
Key facts
- NPI
- 1508404450
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 238 Edgartown Vineyard Haven Road
Edgartown, MA 02539 - Phone
- (508) 693-3800
- Fax
- (508) 693-7473
- NPI assigned
- Dec 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vineyard Complementary Medicine Inc. | Massage Therapist | Past |
Accepting new patients |
| Vineyard Complementary Medicine, Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes |
Addresses
Primary practice location
238 Edgartown Vineyard Haven Road
Edgartown, MA 02539
Mailing address
PO Box 2016
Vineyard Haven, MA 02568
Phone (508) 685-2607
Other providers in Edgartown, MA
- Rhonda L Fauteux
- Molly Bonner Flam
- Francine Agnoli
- Carol Lynn Goldstein
- Eric Myles Gordon
- Victoria Haeselbarth
- David A Halsey
- Sang Woo Han
- Glenn R Harris
- Island Health Inc.
All providers in Edgartown, MA · Massage Therapist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.