Dusty V Kurt, LMT
Individual provider Active NPI Massage Therapist · Amity, OR
NPI 1669722724 · NPPES record last updated Oct 15, 2019
Key facts
- NPI
- 1669722724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 15586 (OR)
- Practice address
- 516 S Trade St Ste 105
Amity, OR 97101-1500 - Phone
- (503) 985-9417
- NPI assigned
- Sep 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15586 | OR | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 15586 | OR | Yes |
Addresses
Primary practice location
516 S Trade St Ste 105
Amity, OR 97101-1500
Mailing address
1141 SE Rummel St
McMinnville, OR 97128-6364
Phone (503) 985-9417
Other providers in Amity, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.