Kristal Woodruff, B.S., LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2333 Issued in MS

Practice address

406 Galleria Dr
Oxford, MS 38655-5462

Phone

(615) 474-9261

NPI assigned

Jun 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1386026201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 COUNTY ROAD 143",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386558663",
            "telephone_number": "615-474-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 GALLERIA DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555462",
            "telephone_number": "615-474-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "KRISTAL",
        "credential": "B.S., LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-27",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MS",
            "license": "2333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wood Medical Support Inc
• Alyssa Mae Wood, M.S., NCC
• Annalea K Wood, DC
• Celia Wood
• Britney Elise Woodhull-Smith, LAT, ATC
• Walter W. Woody, MD
• Jerry Dean Worsham Jr., LPC
• Amy Hill Wright
• Ashanti Cambrielle Wright
• Patrick Demoin Wright Jr.

• Massage Therapist in Oxford, MS
• Providers in Oxford, MS by specialty
• Massage Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.