Rosalyn E Bralley, LMT

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

300 Hersey Street, Suite 4
Ashland, OR 97520

Phone

(541) 821-6751

Fax

(541) 779-7482

NPI assigned

Aug 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Rose Light Professional name

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": "1312761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1811276827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "541-821-3751",
            "fax_number": "541-779-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HERSEY STREET, SUITE 4",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "541-821-6751",
            "fax_number": "541-779-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRALLEY",
        "first_name": "ROSALYN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-08",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "15531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROSE",
            "last_name": "LIGHT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Revaz Boukia, PA-C
• Susan Johanna Bouman, LMT
• Bliss Wenker Boutin, MA
• Jenna Boyle, LPC
• Donna M Bradshaw, MD
• Tara Brasch, PT, DPT
• Sarah Belle Breckenridge, LCSW
• Rebecca Breiholz, PHD
• Valeria Jo Breiten, ND, RD, CCH
• Brian Kitchell

• Specialist in Ashland, OR
• Providers in Ashland, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; 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.