Bluebird Therapeutic Massage & Bodywork

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

19526 Issued in OR

Legal business name

BLUEBIRD THERAPEUTIC MASSAGE & BODYWORK

Practice address

619 NE Baker St Ste B
McMinnville, OR 97128-4949

Phone

(971) 267-5375

NPI assigned

Aug 2, 2017

Last updated

Aug 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jackieblu Loya, LMTNPI 1982113684

Title

Owner/Licensed Massage Therapist

Phone

(971) 237-9394

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jackieblu Loya, LMT

  • Massage Therapist
  • McMinnville, OR
  • NPI 1982113684

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1730603507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 NW CYPRESS ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285464",
            "telephone_number": "971-237-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 NE BAKER ST STE B",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971284949",
            "telephone_number": "971-267-5375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEBIRD THERAPEUTIC MASSAGE & BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "LOYA",
        "authorized_official_first_name": "JACKIEBLU",
        "authorized_official_title_or_position": "OWNER/LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "971-237-9394",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "19526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Aug 2, 2017; 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.