Organization Active NPI

Lavender & Lull Therapeutic Massage LLC

  • Massage Therapist
  • Ashland, OR
National Provider Identifier
1548058365
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
LAVENDER & LULL THERAPEUTIC MASSAGE LLC
Practice address
180 Clear Creek Dr Ste 104
Ashland, OR 97520-1993
Phone
(907) 978-8989
NPI assigned
Apr 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Breeanna Wallace, LMT, MLC-C
Title
Owner/Member
Phone
(907) 978-8989

Specialties & licenses 1

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

Addresses

Primary practice location

180 Clear Creek Dr Ste 104
Ashland, OR 97520-1993

Mailing address

254 Van Ness Ave
Ashland, OR 97520-1736
Phone (907) 978-8989

Other names 1

  • Current Lymphatic Drainage & Massage Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1548058365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 VAN NESS AVE",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201736",
            "telephone_number": "907-978-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 CLEAR CREEK DR STE 104",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201993",
            "telephone_number": "907-978-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER & LULL THERAPEUTIC MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "BREEANNA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "907-978-8989",
        "authorized_official_credential": "LMT, MLC-C"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Current Lymphatic Drainage & Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.