Mandy Lynn Kruger in Portland - Massage Therapist

Mandy Lynn Kruger - NPI 1922284199

Mandy Lynn Kruger is a Massage Therapist in Portland, Oregon. Mandy Lynn Kruger practices all healthcare services and medical treatments related to Massage Therapist. The NPI Number for Mandy Lynn Kruger is 1922284199. The last update date is 2008-01-17.

Mandy Lynn Kruger's current location address is 4004 Ne Mallory Ave Apt 2, Portland, Oregon. You can contact this provider via phone number 9712277567. The mailing address for Mandy Lynn Kruger is 4004 Ne Mallory Ave Apt 2, Portland, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Mandy Lynn Kruger
Address 4004 Ne Mallory Ave Apt 2, Portland, Oregon
Phone Number 9712277567
Fax Number
Sole Proprietor N
Credentials LMT

NPI Number Detail

NPI Number 1922284199
Provider Enumeration Date 2008-01-17
Last Updated Date 2008-01-17

Provider Mailing Address Detail

Address 4004 Ne Mallory Ave Apt 2
City Portland
State Oregon (OR)
Post Code 972121065
Phone Number 9712277567
Fax Number

Provider's Primary Taxonomy Detail

Speciality Massage Therapist
Taxonomy 225700000X
Licence No 12673
Definition:
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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FAQs about Mandy Lynn Kruger

What is the Mandy Lynn Kruger's unique identification number?

The Mandy Lynn Kruger has been assigned the NPI (National Provider Identifier) Number 1922284199 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Mandy Lynn Kruger's facilities are situated?

The facilities of Mandy Lynn Kruger are physically located at the following address: 4004 Ne Mallory Ave Apt 2, Portland, OR, 972121065.

What is Mandy Lynn Kruger's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Mandy Lynn Kruger's specialized field of practice is Massage Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225700000X.

On what date did the Mandy Lynn Kruger receive the assignment of its 1922284199 from the Centers for Medicare & Medicaid Services?

The Mandy Lynn Kruger was issued its 1922284199 by the Centers for Medicare & Medicaid Services on 2008-01-17.

When was the information related to Mandy Lynn Kruger most recently updated or refreshed?

The details pertaining to the Mandy Lynn Kruger, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-01-17.

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