Healing Tree Massage and Bodywork, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

HEALING TREE MASSAGE AND BODYWORK, LLC

Practice address

1016 SE 12TH Ave
#9
Portland, OR 97214-2513

Phone

(503) 929-7599

NPI assigned

Feb 1, 2010

Organization subpart

No

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

Authorized official

Name

Mr. David Michael Thomas, LMT

Title

Owner

Phone

(503) 929-7599

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1689906794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 SE 65TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972064653",
            "telephone_number": "503-929-7599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 SE 12TH AVE",
            "address_2": "#9",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972142513",
            "telephone_number": "503-929-7599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TREE MASSAGE AND BODYWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-929-7599",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

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• Massage Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Massage Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.