NPI 1992508469 · live from the CMS NPI Registry
Chad Anthony Amodeo, LMT
Massage Therapist in Mcminnville, OR. National Provider Identifier 1992508469, active.
NPI record
| NPI | 1992508469 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Massage Therapist 225700000X |
| Practice location | 1300 Nw Adams St Ste A, Mcminnville, OR 97128 |
| Practice phone | 503-474-4569 |
| Mailing address | 2821 Ne Redwood Dr, Mcminnville, OR 97128 |
| Enumerated | March 31, 2025 |
| Last updated | March 31, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist primary | 225700000X | 28640 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.