Individual provider Active NPI

Rachel Loraine Klemmer, LMT

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1063043057
Registry record updated Jan 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
19083 Issued in OR
Practice address
1789 Camelot Ave
Eugene, OR 97404-2689
Phone
(541) 556-4764
NPI assigned
Jan 29, 2020
Last updated
Jan 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2020

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 19083 OR Primary

Addresses

Primary practice location

1789 Camelot Ave
Eugene, OR 97404-2689

Mailing address

1789 Camelot Ave
Eugene, OR 97404-2689
Phone (541) 556-4764

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
19083ORMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580256000000",
    "number": "1063043057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1789 CAMELOT AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042689",
            "telephone_number": "541-556-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1789 CAMELOT AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974042689",
            "telephone_number": "541-556-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEMMER",
        "first_name": "RACHEL",
        "middle_name": "LORAINE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2020-01-29",
        "certification_date": "2020-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; 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.