Organization Active NPI

KLD Therapy LLC

Doing business as Massage Therapy of Fredericksburg

  • Massage Therapist
  • Fredericksburg, VA
National Provider Identifier
1013587989
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
KLD THERAPY LLC
Doing business as
Massage Therapy of Fredericksburg
Practice address
4805 Lassen LN
Fredericksburg, VA 22408-4270
Phone
(540) 699-0458
NPI assigned
Jul 1, 2021
Last updated
Jun 29, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
KLD THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kristy Debruhl
Title
Owner/Licensed Massage Therapist
Phone
(540) 699-0458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

4805 Lassen LN
Fredericksburg, VA 22408-4270

Mailing address

8901 Pepperidge Dr
Spotsylvania, VA 22551-2564
Phone (540) 699-0458

Other names 1

  • Massage Therapy of Fredericksburg Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.massagetherapyoffredericksburg.com Other

National Provider Directory

National Provider Directory
Part of
KLD Therapy LLC

Locations

4805 Lassen Ln
Fredericksburg, VA 22408
Phone (540) 699-0458

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656460800000",
    "number": "1013587989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 PEPPERIDGE DR",
            "city": "SPOTSYLVANIA",
            "state": "VA",
            "postal_code": "225512564",
            "telephone_number": "540-699-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 LASSEN LN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084270",
            "telephone_number": "540-699-0458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLD THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KLD THERAPY LLC",
        "enumeration_date": "2021-07-01",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A",
        "authorized_official_last_name": "DEBRUHL",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "OWNER/LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "540-699-0458"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.massagetherapyoffredericksburg.com",
            "affiliation": "N",
            "endpointDescription": "wesite",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "4805 Lassen Ln",
            "city": "Fredericksburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "224084270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Massage Therapy of Fredericksburg",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Massage Therapy of Fredericksburg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.