Blessed Tree Massage Therapy, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

023223 Issued in OR

Legal business name

BLESSED TREE MASSAGE THERAPY, LLC

Practice address

853 S Main St
Lebanon, OR 97355

Phone

(541) 619-0795

NPI assigned

Jan 3, 2018

Last updated

Jan 3, 2018By 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

Andrea Smith

Title

Owner

Phone

(541) 619-0795

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Andrea M Franks, LMT

  • Massage Therapist
  • Lebanon, OR
  • NPI 1336644475
  NPD (past)

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1952818759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 S MAIN ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "97355",
            "telephone_number": "541-619-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "853 S MAIN ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "97355",
            "telephone_number": "541-619-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED TREE MASSAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-619-0795"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "023223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST LICENSE",
            "identifier": "023223",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaycie Linn Blanshan, COTA/L
• Ruger Burris Blanshan, CPHT
• Geoffrey W Blatter, DMD
• Eric Bleem
• Blessed Tree Integrated Wellness LLC
• Charise Anne Blodgett
• Drew Blumberg
• Janice Upton Blumer, D.O.
• Amithyst Bosley
• Stephanie Erica Bosvert

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.