Organization Active NPI

Copper Sky Massage & Healing Arts

  • Massage Therapist
  • Redmond, OR
National Provider Identifier
1124416482
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
COPPER SKY MASSAGE & HEALING ARTS
Practice address
718 SW Highland Ave
Redmond, OR 97756-3120
Phone
(541) 280-3626
Fax
(952) 516-1416
NPI assigned
Jan 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Authorized official

Name
Li Andra Johnson
Title
Owner
Phone
(541) 280-3626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

718 SW Highland Ave
Redmond, OR 97756-3120

Mailing address

718 SW Highland Ave
Redmond, OR 97756-3120

National Provider Directory

National Provider Directory

Locations

718 SW Highland Ave
Redmond, OR 97756
Phone (541) 280-3626

NPI Registry JSON

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

{
    "created_epoch": "1420675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420675200000",
    "number": "1124416482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 SW HIGHLAND AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 SW HIGHLAND AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977563120",
            "telephone_number": "541-280-3626",
            "fax_number": "952-516-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPPER SKY MASSAGE & HEALING ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-08",
        "last_updated": "2015-01-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LI ANDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-280-3626"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; 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.