Healthcare Provider Details

I. General information

NPI: 1679490551
Provider Name (Legal Business Name): GROUNDED, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 SKYLARK PL
ASHLAND OR
97520-9640
US

IV. Provider business mailing address

905 SKYLARK PL
ASHLAND OR
97520-9640
US

V. Phone/Fax

Practice location:
  • Phone: 541-631-0148
  • Fax:
Mailing address:
  • Phone: 541-631-0148
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: KENNETH MCGRATH
Title or Position: OWNER
Credential: LMT
Phone: 541-631-0148