Mikayla Faith Kreeger, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

28196 Issued in OR

Practice address

1626 NE Alberta St Ste a
Portland, OR 97211-5048

Phone

(503) 287-1444

NPI assigned

May 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mikayla Faith Simoneau Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1467293803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 SW BARBUR BLVD APT 48",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972392856",
            "telephone_number": "808-913-4259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 NE ALBERTA ST STE A",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972115048",
            "telephone_number": "503-287-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREEGER",
        "first_name": "MIKAYLA",
        "middle_name": "FAITH",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "28196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKAYLA",
            "last_name": "SIMONEAU",
            "middle_name": "FAITH",
            "credential": "LMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Krebsbach, RN
• Katherine Krebsbach, DO
• Jolie Ellen Krechman, PH.D.
• Brittany M Krechter, RBT
• Shayla Krecklow, LPCC
• Claudia J. Kreft, R.D.,L.D.
• Megan J Kreft, PA-C
• Ronald William Kreger, D.C.
• Yvonne Justine Kreger, N.D.
• Margot Ryan Krehbiel, LMT

• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.