MEDICARE: KATRINA GRUBERT LMT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	24977	OR

General Provider Information

NPI Number	:	1083177927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATRINA GRUBERT LMT

Provider Business Mailing Address
First Line	:	1565 NW PORTLAND AVE APT 7
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-1400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	628 NW YORK DR
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-1572
Country	:	US
Telephone Number	:	541-388-2429
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2019
Last Update Date	:	04/08/2019

Similar Medicare Providers

1447350350 — MR. STEVEN ARON FOSTER-WEXLER LAC
Practice Location Address:

628 NW YORK DR STE 104
BEND, OR
97703-1572

Practice Phone: 541-330-8283
Practice Fax: 541-388-2439

1023252384 — DR. ROBERT HAROLD HODGERT DMD
Practice Location Address:

628 NW YORK DR STE 101
BEND, OR
97703-1572

Practice Phone: 541-389-2300
Practice Fax: 541-389-2301

1053652826 — ANNE ELIZABETH KOUPAL LMT
Practice Location Address:

628 NW YORK DR STE 205
BEND, OR
97703-1572

Practice Phone: 503-319-2089
Practice Fax:

1205269446 — ERICA MARIE STAEHLE D.C.
Practice Location Address:

628 NW YORK DR STE 104
BEND, OR
97703-1572

Practice Phone: 541-388-2429
Practice Fax: 541-388-3429

1992185359 — EMILY ANN POMEROY LMT
Practice Location Address:

628 NW YORK DR STE 205
BEND, OR
97703-1572

Practice Phone: 541-728-3911
Practice Fax:

1477093227 — ROBERT ZIMMERMAN
Practice Location Address:

628 NW YORK DR STE 205
BEND, OR
97703-1572

Practice Phone: 541-728-3911
Practice Fax:

Directions to “ KATRINA GRUBERT LMT” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.