Kneaded Balance LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

KNEADED BALANCE LLC

Practice address

8029 SW Cirrus Dr BLDG 21
Beaverton, OR 97008-5983

Phone

(503) 939-6922

Fax

(503) 371-7974

NPI assigned

Mar 13, 2024

Organization subpart

No

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

Authorized official

Name

Marta Dahlstrom, LMTNPI 1871879981

Title

Massage Therapist/Owner

Phone

(504) 939-6922

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marta Nan Dahlstrom, LMT

  • Massage Therapist
  • Beaverton, OR
  • NPI 1871879981
  NPD Authorized official

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1922866979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8965 SW 157TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970076674",
            "telephone_number": "503-939-6922",
            "fax_number": "503-371-7974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8029 SW CIRRUS DR BLDG 21",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085983",
            "telephone_number": "503-939-6922",
            "fax_number": "503-371-7974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEADED BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "DAHLSTROM",
        "authorized_official_first_name": "MARTA",
        "authorized_official_title_or_position": "MASSAGE THERAPIST/OWNER",
        "authorized_official_telephone_number": "504-939-6922",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Dale Kloucek, DMD
• Gavin Klumpp, DPT
• Connie Kosell Knapp, RDH
• Ayla Knapton
• Kelsi Knavel, RBSW
• Ashley Drew Knecht, PT
• Laura Knechtges
• Kristin M Knight, SLP
• Nancy Shannon Knopf, QMHP
• Known Heart Counseling, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.