Kristina Renee Anderson, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

18442 Issued in OR

Practice address

1900 NE Highway 99W Ste L
McMinnville, OR 97128-2757

Phone

(971) 237-2840

NPI assigned

Feb 10, 2025

Last updated

Feb 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1699580357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 SW CYPRESS ST UNIT 96",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971288683",
            "telephone_number": "971-237-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 NE HIGHWAY 99W STE L",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971282757",
            "telephone_number": "971-237-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KRISTINA",
        "middle_name": "RENEE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "18442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Alvarenga
• Chad Anthony Amodeo, LMT
• Beata Anasz-Kopecka, M.D.
• Whitney J Anderson Gonzalez, DPT
• Duncan Anderson
• Lily Anderson, LMT
• Marcella M Anderson, M.D.
• Philip Bradley Anderson, MD
• Sheryl Anne Anderson, LMT
• Andrew Physical Therapy, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.