Andrik Levi Keteri, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA61298161 Issued in WA

Practice address

3305 Main St Ste 107
Vancouver, WA 98663-2234

Phone

(360) 798-6204

NPI assigned

Oct 25, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Myolife Bodywork & Massage, PLLC

  • Clinic/Center
  • Vancouver, WA
  • NPI 1245030881
  NPD Authorized official
• Lake Norden Family Chiropractic Center

  • Chiropractor
  • Lake Norden, SD
  • NPI 1700062601
  NPD (past)

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1528785094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E 24TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986633214",
            "telephone_number": "360-798-6204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 MAIN ST STE 107",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632234",
            "telephone_number": "360-798-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KETERI",
        "first_name": "ANDRIK",
        "middle_name": "LEVI",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA61298161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Re Becca Sue Kessler, L.P.
• Katie Lynn Kester
• Hannah Ketch, PHARMD, RPH
• Barbara D Ketcham, PSYD
• Megumi S Ketcham, M.D.
• Kevin J Smith DDS PLLC
• Kelli Eilene Keyes, RC
• Jazmin Keymolen
• Richard Stuart Keyser, ARNP
• KFKP of the Northwest

• Massage Therapist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2025; 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.