Robert Glenn Kreider, C.M.T., B.S.

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

904 Dawn Ave
Ephrata, PA 17522-1340

Phone

(717) 733-8900

Fax

(717) 823-6382

NPI assigned

Dec 21, 2010

Sex

Male

Sole proprietor

No

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

Credentials

Bachelor of Science

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292889600000",
    "number": "1609179290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 W MAIN ST",
            "address_2": "SUITE #1",
            "city": "MOUNT JOY",
            "state": "PA",
            "postal_code": "175529699",
            "telephone_number": "717-367-6224",
            "fax_number": "717-823-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 DAWN AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175221340",
            "telephone_number": "717-733-8900",
            "fax_number": "717-823-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIDER",
        "first_name": "ROBERT",
        "middle_name": "GLENN",
        "credential": "C.M.T., B.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Breech Kost, D.C.
• Douglas G Kramer
• Emily Kramer, BA
• Steven W Kreamer, DPM
• Kerry Lynn Kreider, MSOTR/L
• Prasad Krishnakurup, M.D
• Krystin Leigh Kristovensky, CRNP
• Angela Marie Kurl, MS, OTR
• Samuel Seungkwon La, MD
• Ashley Nichole Ladoski, CPHT

• Massage Therapist in Ephrata, PA
• Providers in Ephrata, PA by specialty
• Massage Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.