Sandra NMN Maxwell, LICENSED MASSAGE THE

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

2964 Issued in OR

Practice address

1997 W 12TH Ave
Eugene, OR 97402-3521

Phone

(541) 942-6946

Fax

(541) 349-9581

NPI assigned

Mar 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891815288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 991",
            "city": "LORANE",
            "state": "OR",
            "postal_code": "974510991",
            "telephone_number": "541-942-6946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1997 W 12TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023521",
            "telephone_number": "541-942-6946",
            "fax_number": "541-349-9581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "SANDRA",
        "middle_name": "NMN",
        "name_prefix": "Mrs.",
        "credential": "LICENSED MASSAGE THE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "2964",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA 7355",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Max Care 100, Inc.
• Maxim Healthcare Services
• Maxim Healthcare Services, Inc.
• Kimby Maxson, LMT
• Kathryn Lee Maxwell, D.O.
• Amy Elizabeth May, LCSW
• Ariana Lee May, IBCLC, THW
• Brenda A May, L.M.T.
• Judy E. May
• Lori A May, MA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.