Michelle Woodruff, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2001005260 Issued in MO

Practice address

10820 Sunset Office Dr Ste 110
Saint Louis, MO 63127-1029

Phone

(314) 965-4404

Fax

(314) 965-4464

NPI assigned

Sep 6, 2022

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

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.

• Myofascial Treatment Center LLC

  • Physical Therapist
  • Saint Louis, MO
  • NPI 1801952577
  NPD

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1609597848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10820 SUNSET OFFICE DR STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271029",
            "telephone_number": "314-965-4404",
            "fax_number": "314-965-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10820 SUNSET OFFICE DR STE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271029",
            "telephone_number": "314-965-4404",
            "fax_number": "314-965-4464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODRUFF",
        "first_name": "MICHELLE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MO",
            "license": "2001005260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Robert Woodiwiss, MD
• Michele C Woodley, MD
• Pamela S Woodring Brown, CRNA
• Stacey Woodrome, PH.D.
• Anne-Marie Woodruff, FNP
• Sarah Amy Woodrum, PT
• Belynda Woods
• Brian Woods, MD
• Cassidy Woods
• Courtney Renee Woods

• Massage Therapist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Massage Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.