Active NPI
Natasha Liedkie, LMT
- Massage Therapist
- Klamath Falls, OR
National Provider Identifier
1255732822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 19074
- Practice address
- 2515 Crosby Ave
Klamath Falls, OR 97603-4553 - Phone
- (503) 798-5690
- Fax
- (541) 273-6279
- NPI assigned
- Sep 15, 2014
- Last updated
- Aug 5, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 19074 | OR | Primary |
Addresses
Primary practice location
2515 Crosby Ave
Klamath Falls, OR 97603-4553
Mailing address
2515 Crosby Ave
Klamath Falls, OR 97603-4553
Phone (503) 798-5690
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19074 | Other | OR | LMT |
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 |
|---|---|---|---|
| 19074 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470355200000",
"number": "1255732822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2515 CROSBY AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976034553",
"telephone_number": "503-798-5690",
"fax_number": "541-273-6279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2515 CROSBY AVE",
"city": "KLAMATH FALLS",
"state": "OR",
"postal_code": "976034553",
"telephone_number": "503-798-5690",
"fax_number": "541-273-6279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIEDKIE",
"first_name": "NATASHA",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-15",
"last_updated": "2016-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "19074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMT",
"identifier": "19074",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Klamath Falls, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.