Alyssa Gabrielle Menle, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

25981 Issued in OR

Practice address

22021 SW Sherwood Blvd
Sherwood, OR 97140-9327

Phone

(503) 625-2290

NPI assigned

Sep 21, 2023

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

Other names 1

• Alyssa Gabrielle Menle Former name

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": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1740068527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14706 SW BRICKYARD DR",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409834",
            "telephone_number": "530-921-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22021 SW SHERWOOD BLVD",
            "city": "SHERWOOD",
            "state": "OR",
            "postal_code": "971409327",
            "telephone_number": "503-625-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENLE",
        "first_name": "ALYSSA",
        "middle_name": "GABRIELLE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "25981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "MENLE",
            "middle_name": "GABRIELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Makenzie Maurice, LMT
• Cristela Corazon McAravey, DNP-FNP C
• Kathryn Marie McConkie
• Melissa McMurry, MA, LPC, CADC I
• Kelly Jo Medeiros-Wheeler, LCSW
• Rebecca Ann Mickel, FNP
• Hannah Mickelson, PA
• Lisa Middleton, LMT
• Patricia Eden Fernandez Millan, M.D.
• Tycie Leeann Monson, MS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.