Provider Demographics
NPI:1346139854
Name:KADEN, GREGORY SCOTT (LMT)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:SCOTT
Last Name:KADEN
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:GREGORY
Other - Middle Name:SCOTT
Other - Last Name:SCHRECENGOST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:203 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:NEW BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:16242-1233
Mailing Address - Country:US
Mailing Address - Phone:724-919-7231
Mailing Address - Fax:724-919-7231
Practice Address - Street 1:908 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-1136
Practice Address - Country:US
Practice Address - Phone:814-432-5423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMSG014622225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist