Andrea Zitzloff

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ANDREA ZITZLOFF

Practice address

5258 20TH St SW
Waverly, MN 55390-5024

Phone

(612) 328-0884

NPI assigned

Sep 6, 2014

Organization subpart

No

Name

Mrs. Andrea Beth Zitzloff, C.M.P.

Title

Certified Massage Practitioner

Phone

(612) 328-0884

• Andrea's Massage Therapy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 6, 2014.

{
    "created_epoch": "1409961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409961600000",
    "number": "1831590124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 20TH ST SW",
            "city": "WAVERLY",
            "state": "MN",
            "postal_code": "553905024",
            "telephone_number": "612-328-0884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 20TH ST SW",
            "city": "WAVERLY",
            "state": "MN",
            "postal_code": "553905024",
            "telephone_number": "612-328-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA ZITZLOFF",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-06",
        "last_updated": "2014-09-06",
        "status": "A",
        "authorized_official_last_name": "ZITZLOFF",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CERTIFIED MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "612-328-0884",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "C.M.P."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Andrea's Massage Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Waverly, MN
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2014; 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.