Active NPI
KLD Therapy LLC
Doing business as Massage Therapy of Fredericksburg
- Massage Therapist
- Fredericksburg, VA
National Provider Identifier
1013587989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- 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, 2022
- Organization subpart
- Yes
- Parent organization
- KLD THERAPY LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.
-
- Massage Therapist
- Puyallup, WA
- NPI 1982060273
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.