Active NPI
Debra Julie Krueger-Pryor, LMT
- Massage Therapist
- Eagan, MN
National Provider Identifier
1013137637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 3390 Coachman Rd
Eagan, MN 55121-1800 - Phone
- (651) 452-4220
- Fax
- (651) 452-3829
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Primary |
Addresses
Primary practice location
3390 Coachman Rd
Eagan, MN 55121-1800
Mailing address
3390 Coachman Rd
Eagan, MN 55121-1800
Phone (651) 452-4220
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Care Chiropractic Body Wellness Center, LLC | Past | Accepting new patients | |
| Body Systems, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Edina, MN
- NPI 1003132838
-
- Chiropractor
- Eagan, MN
- NPI 1891904793
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013137637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 COACHMAN RD",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211800",
"telephone_number": "651-452-4220",
"fax_number": "651-452-3829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 COACHMAN RD",
"city": "EAGAN",
"state": "MN",
"postal_code": "551211800",
"telephone_number": "651-452-4220",
"fax_number": "651-452-3829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUEGER-PRYOR",
"first_name": "DEBRA",
"middle_name": "JULIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagan, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.