Russian Massage

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

19673 Issued in OR

Legal business name

RUSSIAN MASSAGE

Practice address

507 Main St
Klamath Falls, OR 97601-6031

Phone

(541) 604-5753

NPI assigned

May 9, 2016

Organization subpart

No

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

Authorized official

Name

Elena Peters, LMT

Title

Owner/LMT/Ammp

Phone

(541) 604-5753

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1427404466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 MAIN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016031",
            "telephone_number": "541-604-5753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 MAIN ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976016031",
            "telephone_number": "541-604-5753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSIAN MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER/LMT/AMMP",
        "authorized_official_telephone_number": "541-604-5753",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Rummelsburg
• Brian Cole Rupp, PHARM.D
• Jordan Rupp
• Josephine Marie Rupp, PHARMD
• David Joseph Russell, MD
• Jeanette M Rutherford, LPC
• Kathleen Rutherford
• Aliya Ann Rutledge
• Carrissa Rene Rutledge
• Lisa Rutter, B.S.

• Massage Therapist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 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.

Verify at the official NPI Registry.