Chad Anthony Amodeo, LMT
Individual provider Active NPI Massage Therapist · McMinnville, OR
NPI 1992508469 · NPPES record last updated Mar 31, 2025
Key facts
- NPI
- 1992508469
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 28640 (OR)
- Practice address
- 1300 NW Adams St Ste a
McMinnville, OR 97128-3550 - Phone
- (503) 474-4569
- NPI assigned
- Mar 31, 2025
- Sex
- Male
- 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 |
|---|---|---|---|
| 28640 | OR | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 28640 | OR | Yes |
Addresses
Primary practice location
1300 NW Adams St Ste a
McMinnville, OR 97128-3550
Mailing address
2821 NE Redwood Dr
McMinnville, OR 97128-2323
Phone (503) 720-2298
Other providers in McMinnville, OR
- Tabitha Linn Allbetter
- Karineh Anna Allen
- McKaylah Allen
- Alliance Healthcare Services Inc
- Kyla Alvarenga
- Beata Anasz-Kopecka
- Whitney J Anderson Gonzalez
- Duncan Anderson
- Kristina Renee Anderson
- Lily Anderson
All providers in McMinnville, OR · Massage Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2025. 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.