Roseburg Massage Health & Beauty Spa, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ROSEBURG MASSAGE HEALTH & BEAUTY SPA, LLC

Practice address

358 SE Jackson St
Roseburg, OR 97470-3342

Phone

(541) 378-8399

Fax

(541) 637-0167

NPI assigned

Feb 25, 2026

Organization subpart

No

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

Authorized official

Name

Crystalise Moore, LMT # 21182

Title

Co-Owner/LMT

Phone

(541) 378-8399

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheila Kristine Cole, LMT

  • Massage Therapist
  • Roseburg, OR
  • NPI 1720417983
  NPD

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

{
    "created_epoch": "1771977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1033063086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 NE WALNUT ST # 459",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974702026",
            "telephone_number": "541-378-8399",
            "fax_number": "541-637-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 SE JACKSON ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703342",
            "telephone_number": "541-378-8399",
            "fax_number": "541-637-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSEBURG MASSAGE HEALTH & BEAUTY SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-25",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CRYSTALISE",
        "authorized_official_title_or_position": "CO-OWNER/LMT",
        "authorized_official_telephone_number": "541-378-8399",
        "authorized_official_credential": "LMT # 21182"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseburg Douglas Associates
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• Roseburg Heart Associates PC
• Roseburg Oncology PC
• Roseburg Radiologists P C
• Roseburg Therapy LLC
• Roseburg Therapy LLC
• Roseburg VA Health Care System

• Massage Therapist in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; 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.