Active NPI
Jarica Dawn Crutcher
- Massage Therapist
- Eugene, OR
National Provider Identifier
1184288854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 24531
- Practice address
- 825 Monroe St Ste 4
Eugene, OR 97402-5176 - Phone
- (541) 632-3359
- NPI assigned
- Apr 27, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 24531 | OR | Primary |
Addresses
Primary practice location
825 Monroe St Ste 4
Eugene, OR 97402-5176
Mailing address
87855 Upland St
Springfield, OR 97478-9662
Phone (541) 968-2628
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
| License | State | Type | Specialty |
|---|---|---|---|
| 24531 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556323200000",
"number": "1184288854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87855 UPLAND ST",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974789662",
"telephone_number": "541-968-2628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 MONROE ST STE 4",
"city": "EUGENE",
"state": "OR",
"postal_code": "974025176",
"telephone_number": "541-632-3359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUTCHER",
"first_name": "JARICA",
"middle_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-27",
"last_updated": "2019-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "24531",
"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 Apr 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.