Andrea Zitzloff

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ANDREA ZITZLOFF

Doing business as

Andrea's Massage Therapy

Practice address

5258 20TH St SW
Waverly, MN 55390-5024

Phone

(612) 328-0884

NPI assigned

Sep 6, 2014

Last updated

Sep 6, 2014By 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

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

Title

Certified Massage Practitioner

Phone

(612) 328-0884

Specialties & licenses 1

Addresses

Other names 1

• Andrea's Massage Therapy Doing business as

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

{
    "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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• Massage Therapist in Waverly, MN
• Providers in Waverly, MN by specialty
• 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.