Happy Spirit Healing Arts, LLC

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

14427 Issued in OR

Legal business name

HAPPY SPIRIT HEALING ARTS, LLC

Practice address

830 Saginaw St S
Salem, OR 97302-4122

Phone

(503) 508-7868

NPI assigned

Jun 29, 2011

Organization subpart

No

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

Authorized official

Name

Ms. Desiree Forrest Rudder-Yepes, LMT

Title

Owner

Phone

(503) 508-7868

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1689961534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 SUNNYSIDE RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973061512",
            "telephone_number": "503-508-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SAGINAW ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024122",
            "telephone_number": "503-508-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY SPIRIT HEALING ARTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "RUDDER-YEPES",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_middle_name": "FORREST",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-508-7868",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Mechanotherapist",
            "state": "OR",
            "license": "14427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1568779916",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorraine Hanson, PHARM D
• Nicholas Hanson, MD
• Saskia Hanson
• Sean Michael Hanson, DMD
• Darci Hantze-Tothridgway
• Brooke Harboe, PSYD
• James Harclerode, LPN
• Jacqueline Lauren Harden
• Kathleen M. Harder, M.D.
• Robert Jack Harder, MD

• Mechanotherapist in Salem, OR
• Providers in Salem, OR by specialty
• Mechanotherapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.