NPI 1699580357 · live from the CMS NPI Registry
Kristina Renee Anderson, LMT
Massage Therapist in Mcminnville, OR. National Provider Identifier 1699580357, active.
NPI record
| NPI | 1699580357 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1900 Ne Highway 99w Ste L, Mcminnville, OR 97128 |
| Practice phone | 971-237-2840 |
| Mailing address | 1145 Sw Cypress St Unit 96, Mcminnville, OR 97128 |
| Enumerated | February 10, 2025 |
| Last updated | February 10, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 18442 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.