Individual provider Active NPI

Amber Pearl Kunz, LMT

  • Massage Therapist
  • Forest Lake, MN
National Provider Identifier
1013691922
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
25-0541 Issued in MN
Practice address
280 12TH St SW Ste 1
Forest Lake, MN 55025-3780
Phone
(612) 751-4200
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 25-0541 MN Primary

Addresses

Primary practice location

280 12TH St SW Ste 1
Forest Lake, MN 55025-3780

Mailing address

280 12TH St SW Ste 1
Forest Lake, MN 55025-3780
Phone (612) 751-4200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kathy@adeviaspa.com

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

State licenses

LicenseStateTypeSpecialty
25-0541MNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Broman Chiropractic Clinic PA CurrentSince Jun 18, 2023 Accepting new patients
Andrea White Massage Therapist PastSince Jun 18, 2023 Accepting new patients

Locations

7237 Forestview Ln N
Maple Grove, MN 55369
Phone (763) 420-8595

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.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1013691922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 12TH ST SW STE 1",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550253780",
            "telephone_number": "612-751-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 12TH ST SW STE 1",
            "city": "FOREST LAKE",
            "state": "MN",
            "postal_code": "550253780",
            "telephone_number": "612-751-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNZ",
        "first_name": "AMBER",
        "middle_name": "PEARL",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": "25-0541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kathy@adeviaspa.com",
            "affiliation": "N",
            "address_1": "280 12th St SW Ste 1",
            "city": "Forest Lake",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550253780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Lake, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.