Organization Active NPI

Koru Health Center, LLC

  • Massage Therapist
  • Eugene, OR
National Provider Identifier
1336370014
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
KORU HEALTH CENTER, LLC
Practice address
2775 Friendly St
Eugene, OR 97405-2254
Phone
(541) 434-1111
NPI assigned
Jul 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

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

Authorized official

Name
Alisha M. Wimberly, B.S., N.T.P
Title
Owner/Nutritionist
Phone
(541) 434-1111

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2775 Friendly St
Eugene, OR 97405-2254

Mailing address

2775 Friendly St
Eugene, OR 97405-2254
Phone (541) 434-1111

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248825600000",
    "number": "1336370014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 FRIENDLY ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052254",
            "telephone_number": "541-434-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2775 FRIENDLY ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052254",
            "telephone_number": "541-434-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KORU HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-29",
        "last_updated": "2009-07-29",
        "status": "A",
        "authorized_official_last_name": "WIMBERLY",
        "authorized_official_first_name": "ALISHA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/NUTRITIONIST",
        "authorized_official_telephone_number": "541-434-1111",
        "authorized_official_credential": "B.S., N.T.P"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "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 Jul 29, 2009; 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.