Lacee Kae Lindemuth, LMT – Massage Therapist

Key facts

NPI: 1760201735
Entity type: Individual (NPI type 1)
Primary specialty: Massage Therapist 225700000X
License: 28416 (OR)
Practice address: 18 Myrtle St
Medford, OR 97504-7338
Phone: (541) 531-1911
NPI assigned: Oct 7, 2024
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Meridian Wellness Center Health Service Clinic/Center · Medford, OR · NPI 1487347845

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
28416	OR	MD	Massage Therapist

Practice roles

Organization	Specialty	Status	New patients
Meridian Wellness Center		Current since Oct 13, 2024	Accepting new patients

Locations

18 Myrtle St
Medford, OR 97504
Phone (541) 531-1911

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Massage Therapist	225700000X	28416	OR	Yes

Addresses

Primary practice location

18 Myrtle St
Medford, OR 97504-7338

Mailing address

18 Myrtle St
Medford, OR 97504-7338
Phone (541) 531-1911

Other names

Lacee Kae Sandberg Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 7, 2024.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1760201735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MYRTLE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047338",
            "telephone_number": "541-531-1911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MYRTLE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047338",
            "telephone_number": "541-531-1911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDEMUTH",
        "first_name": "LACEE",
        "middle_name": "KAE",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "28416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEE",
            "last_name": "SANDBERG",
            "middle_name": "KAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Medford, OR

All providers in Medford, OR · Massage Therapist in Oregon

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.