Anna-Liese Amundson

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

24474 Issued in OR

Practice address

824 E Jackson St Ste a
Medford, OR 97504-6745

Phone

(458) 225-9225

NPI assigned

Nov 28, 2018

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 identifiers 1

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": "1543363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543363200000",
    "number": "1770053100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 LIBERTY ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975203039",
            "telephone_number": "503-400-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E JACKSON ST STE A",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046745",
            "telephone_number": "458-225-9225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 E Hersey St # A-8",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "975201293",
            "country_code": "US",
            "telephone_number": "541-482-5134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 Liberty St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "OR",
            "postal_code": "975203039",
            "country_code": "US",
            "telephone_number": "503-400-8234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMUNDSON",
        "first_name": "ANNA-LIESE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-28",
        "last_updated": "2018-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "24474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JACKSON CARE",
            "identifier": "BC000R3R",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pam Ames, PT
• Susan Amidon, RN, CDE
• Douglas James Ammerman, MD
• Shantell Ammirata
• Kenneth Robert Ampel, M.D.
• Anatrypsis Massage and Wellness
• Casandra Lynn Anderrson, QMHA
• Anders Incorporated
• Aaron Daniel Anders, MPT
• Lara Lisa Anders, MFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2018; 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.