Organization Active NPI

Runner's Therapeutic Massage

  • Massage Therapist
  • Keizer, OR
National Provider Identifier
1437555034
Registry record updated Nov 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
20959 Issued in OR
Legal business name
RUNNER'S THERAPEUTIC MASSAGE
Practice address
3860 River Rd N
Keizer, OR 97303-4886
Phone
(503) 395-0125
NPI assigned
Nov 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2014

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

Authorized official

Name
Lacey Runner, LMT
Title
Owner
Phone
(503) 395-0125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 20959 OR Primary

Addresses

Primary practice location

3860 River Rd N
Keizer, OR 97303-4886

Mailing address

1540 Fircrest CT SE
Salem, OR 97306-1336

National Provider Directory

National Provider Directory

Locations

3860 River Rd N
Keizer, OR 97303
Phone (503) 269-6478

NPI Registry JSON

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

{
    "created_epoch": "1415404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415404800000",
    "number": "1437555034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 FIRCREST CT SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973061336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034886",
            "telephone_number": "503-395-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUNNER'S THERAPEUTIC MASSAGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-08",
        "last_updated": "2014-11-08",
        "status": "A",
        "authorized_official_last_name": "RUNNER",
        "authorized_official_first_name": "LACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-395-0125",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2014; 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.