Provider Demographics
NPI:1548400286
Name:GRAMSS, MARTHA ANN (LMT)
Entity Type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:ANN
Last Name:GRAMSS
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 1:7801 BEECHMONT AVENUE
Mailing Address - Street 2:SUITE #6
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255
Mailing Address - Country:US
Mailing Address - Phone:513-368-7796
Mailing Address - Fax:
Practice Address - Street 1:7801 BEECHMONT AVE
Practice Address - Street 2:SUITE #6
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4211
Practice Address - Country:US
Practice Address - Phone:513-368-7796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6653225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist