Organization Active NPI

Blessed Tree Integrated Wellness LLC

  • Massage Therapist
  • Lebanon, OR
National Provider Identifier
1588375752
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BLESSED TREE INTEGRATED WELLNESS LLC
Practice address
67 W Ash St
Lebanon, OR 97355-3332
Phone
(541) 995-0551
Fax
(541) 833-2632
NPI assigned
Dec 8, 2022
Last updated
Dec 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Authorized official

Name
Andrea Smith, LMT
Title
Owner
Phone
(541) 995-0551

Specialties & licenses 1

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

Addresses

Primary practice location

67 W Ash St
Lebanon, OR 97355-3332

Mailing address

67 W Ash St
Lebanon, OR 97355-3332
Phone (541) 995-0551

National Provider Directory

National Provider Directory

Locations

67 W Ash St
Lebanon, OR 97355
Phone (541) 995-0551

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1670457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1588375752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 W ASH ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553332",
            "telephone_number": "541-995-0551",
            "fax_number": "541-833-2632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 W ASH ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553332",
            "telephone_number": "541-995-0551",
            "fax_number": "541-833-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED TREE INTEGRATED WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-995-0551",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.