September Krueger, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60847350 Issued in WA

Practice address

5001 California Ave SW Ste 111
Seattle, WA 98136-1296

Phone

(206) 257-4126

NPI assigned

Sep 23, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Heather L .Bergfors DC PS

  • Orthopedic Chiropractor
  • Seattle, WA
  • NPI 1457684136
  NPD (past)

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1891346748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3323 20TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981446423",
            "telephone_number": "414-430-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 CALIFORNIA AVE SW STE 111",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361296",
            "telephone_number": "206-257-4126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUEGER",
        "first_name": "SEPTEMBER",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60847350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malick Krubally, STUDENT IN PROGRAM
• Saul Kebba Krubally
• Andrew Krueger, MD
• Janet Amelia Krueger, RN
• Pamela Krueger, LMFT, LMHC
• Teresa Ann Catherine Krueger, R PH
• Annarose Krug
• Jacquelyn Tracy Krug, RN
• Michael Krug
• Cori Len Kruger, LMP

• Massage Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.