Kristina Morgan Flickinger, LMT
Individual provider Active NPI Massage Therapist · Sandy, OR
NPI 1902292170 · NPPES record last updated Apr 14, 2015
Key facts
- NPI
- 1902292170
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 20650 (OR)
- Practice address
- 39451 Dubarko Rd
Sandy, OR 97055-9322 - Phone
- (503) 863-6865
- NPI assigned
- Apr 14, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20650 | OR | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 20650 | OR | Yes |
Addresses
Primary practice location
39451 Dubarko Rd
Sandy, OR 97055-9322
Mailing address
39451 Dubarko Rd
Sandy, OR 97055-9322
Phone (503) 863-6865
Other providers in Sandy, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.