NPI 1689977647 · live from the CMS NPI Registry
Kalinna Alderman, LMT, CA
Massage Therapist in Brookings, OR. National Provider Identifier 1689977647, active.
NPI record
| NPI | 1689977647 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 340 Pacific Ave # P, Brookings, OR 97415 |
| Practice phone | 458-257-7918 |
| Mailing address | 206 Wilene Ct, Roseburg, OR 97471 |
| Enumerated | December 14, 2010 |
| Last updated | March 29, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 17212 (OR) |
| Homeopath | 175L00000X | 17212 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.