Amy C Kowalski, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

23966 Issued in OR

Practice address

2542 NE Courtney Dr.
Bend, OR 97701

Phone

(541) 241-2127

Fax

(541) 460-7854

NPI assigned

Oct 3, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amy C Vanacker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Global Fusion Bodywork and Hypnosis LLC

  • Massage Therapist
  • Bend, OR
  • NPI 1609689090
  NPD Authorized official

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

{
    "created_epoch": "1538524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1508341793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 SE 11TH ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "97741",
            "telephone_number": "541-728-8453",
            "fax_number": "541-460-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 NE COURTNEY DR.",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-241-2127",
            "fax_number": "541-460-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "AMY",
        "middle_name": "C",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-03",
        "last_updated": "2024-10-11",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "23966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "VANACKER",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kourtney Haigh Counseling LLC
• Arianna Kousari, MD
• Stephanie Kay Koutsopoulos, MS, CADC-I, LPC, NCC
• Anguelina Kouznetsova, LMT
• Lisa Jacqueline Kovacevic
• Darren M Kowalski, M.D.
• Sarah Koza
• Carrie Kraft, LPC INTERN
• Kaylee Marie Krajcir, RD
• Kevin M Kral, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.