Active NPI
Teri A Kolder, MASSAGE THERAPIST
- Massage Therapist
- Garberville, CA
National Provider Identifier
1629948302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 83522
- Practice address
- 764 Cedar St
Garberville, CA 95542-3222 - Phone
- (707) 246-7371
- NPI assigned
- Nov 7, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 83522 | CA | Primary |
Addresses
Primary practice location
764 Cedar St
Garberville, CA 95542-3222
Mailing address
PO Box 21
Miranda, CA 95553-0021
Phone (707) 246-7371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83522 | CA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1762473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762473600000",
"number": "1629948302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21",
"city": "MIRANDA",
"state": "CA",
"postal_code": "955530021",
"telephone_number": "707-246-7371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "764 CEDAR ST",
"city": "GARBERVILLE",
"state": "CA",
"postal_code": "955423222",
"telephone_number": "707-246-7371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLDER",
"first_name": "TERI",
"middle_name": "A",
"name_prefix": "Miss",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-11-07",
"last_updated": "2025-11-07",
"certification_date": "2025-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "83522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Garberville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.