Provider Demographics
NPI:1174038772
Name:ORMSBY, GREGORY ANNE (LMT)
Entity Type:Individual
Prefix:
First Name:GREGORY
Middle Name:ANNE
Last Name:ORMSBY
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5307
Mailing Address - Country:US
Mailing Address - Phone:360-202-9304
Mailing Address - Fax:
Practice Address - Street 1:311 CEDAR ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5307
Practice Address - Country:US
Practice Address - Phone:360-202-9304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-05
Last Update Date:2017-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60810520225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist