Glitter and Glow, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

GLITTER AND GLOW, LLC

Practice address

1300 NE Adams St Ste a
McMinnville, OR 97128-3500

Phone

(503) 474-4569

NPI assigned

Mar 13, 2023

Organization subpart

No

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

Authorized official

Name

Robin Koch

Title

Owner

Phone

(541) 290-0241

Specialties & licenses 1

Addresses

Other names 1

• Glitter and Glow Studio Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Dornbusch, LMT

  • Massage Therapist
  • McMinnville, OR
  • NPI 1316773211
  NPD

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678665600000",
    "number": "1891496485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 NE ADAMS ST STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283500",
            "telephone_number": "503-474-4569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 NE ADAMS ST STE A",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971283500",
            "telephone_number": "503-474-4569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLITTER AND GLOW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-11",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-290-0241"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glitter and Glow Studio",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Stephanie Giunta
• Kristine Marian Givens
• Susan Marie Glad, O.D.
• Melissa Glenn, CADC
• Shawn Glidden
• Tayleena Gloss, LMT
• Sally L Godard, MD
• Laurie A Godwin, LMT
• Haley Melissa Goetsch, M.A.
• Goforth Inspired LLC

• Massage Therapist in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.