Stefani McIntyre, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

023458 Issued in OR

Practice address

1590 SE N Street
Warehouse #1574
Grants Pass, OR 97526

Phone

(541) 393-8860

NPI assigned

Jul 6, 2018

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

Other names 1

• Stefani Gissel Former 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": "1530835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530835200000",
    "number": "1821584509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 HELGESON LN",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975279152",
            "telephone_number": "541-393-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 SE N STREET",
            "address_2": "WAREHOUSE #1574",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "97526",
            "telephone_number": "541-393-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "STEFANI",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-06",
        "last_updated": "2018-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "023458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEFANI",
            "last_name": "GISSEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara McCullough
• Daniel McDonnell, MSN PMH-NP
• Laura Frances McGarry, MA
• Cassandra Nicole McGuffie
• Lorri Jo McIntosh, RNC
• Rhonda Mary McKenna, PA
• Sheldon Junior McKenzie, MD
• Harley Glenn McKewen, RPH
• Libby M McLain, M.S., L.P.C., N.C.C.
• Robert Dwaine McLane II

• Massage Therapist in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.