KELLY KRUG
Massage Therapist

Address: 9129 Ne Glisan St, Portland, OR 97220-5865

KELLY KRUG (NPI# 1841881968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841881968
Entity Type Individual
Full Name KELLY KRUG
Gender Female
Credential LMT
Practice Address 9129 Ne Glisan St
Portland
OR 97220-5865
Practice Telephone 6083976821
Mailing Address 9129 Ne Glisan St
Portland
OR 97220-5865
Certification Date 2021-02-01
Enumeration Date 2021-02-01
Last Update Date 2021-02-01
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 225700000X Massage Therapist 24445 OR Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OR LMT 24445 Other

Office Location

Street Address 9129 NE GLISAN ST
City PORTLAND
State OR
Zip Code 97220-5865

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1316569254 Debra Shamblin Behavior Analyst 150 Ne 100th Ave, Portland, OR 97220 2020-05-14
1336780618 Joan Lambert Technician · Attendant Care Provider 2802 Ne 108th Avenue, Portland, OR 97220 2019-10-08
1750933917 Multnomah County Clinic/Center · Dental 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 2019-07-09
1194223107 Landmark Connect of Oregon PC General Practice 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 2018-01-24
1487178711 Andrew Shonk Massage Therapist 163 Ne 102nd Ave Blid V, Portland, OR 97220 2017-07-28
1548781693 Greater New Hope Family Services Lodging 11868 Ne Sandy Blvd, Portland, OR 97220 2017-06-29
1245771740 Maria Teresa Banez Salcedo Registered Nurse 10300 Ne Hancock Street, Portland, OR 97220 2017-03-16
1568901858 Christopher Gabriel Lyons Adult Companion 1343 Ne 118 Ave. Apt5, Portland, OR 97220 2017-02-20
1962945956 Linda Ann Oldenburg · Linda Ann Negel Registered Nurse 9515 Ne Skidmore Avenue, Portland, OR 97220 2016-11-23
1326493446 Trent D. Wilson Massage Therapist 8401 Ne Halsey St., Suite 101, Portland, OR 97220 2016-04-26
Find all providers in zip 97220

Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528659513 Kelly Behm 1617 Ne 17th Ave, Portland, OR 97232-3561 2021-02-01
1205425949 Christopher Keith 4072 Ne 10th Ave, Portland, OR 97212-1223 2021-01-17
1487257960 Felicia Royce 3314 S Kelly Ave, Portland, OR 97239-4628 2020-11-18
1528661105 Amy Grace Smith 3826 Se 51st Ave, Portland, OR 97206-3063 2020-11-17
1619579653 Brent A Luebbert 3724 N Massachusetts Ave Unit B, Portland, OR 97227-1030 2020-11-13
1063013712 Gabriel Henriques 805 Se Peacock Ln, Portland, OR 97214-3278 2020-11-07
1871193490 Heather R Anderson 1646 Se Tenino St, Portland, OR 97202-6713 2020-11-01
1205435716 Michella Onnis 2410 Se 10th Ave, Portland, OR 97214-4624 2020-10-26
1063019479 Kevin Thomas Ryan 2220 Nw Front Ave Apt 316, Portland, OR 97209-1998 2020-10-08
1497352389 Nikki Nesta 7849 Se Monroe St, Portland, OR 97222-1158 2020-10-05
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97220

Similar providers

NPI Name Taxonomy Address Enumeration
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1306195383 Linda Krug Porzelius · Linda Marie Krug Psychologist 336 Ne Norton Ave Ste 4, Bend, OR 97701-4386 2012-09-05
1154824811 Orah Krug · Orah Krug Marriage & Family Therapist 5655 College Ave Ste 315e, Oakland, CA 94618-1669 2018-03-08
1275177255 Kellie Adrienne Ebberup-Krug · Kellie Adrienne Krug Social Worker · Clinical 930 Morgan Drive, Whiteman Afb, MO 65305-1180 2019-11-01
1629289384 Ellen Krug Social Worker · Clinical 297 6th Ave, Brooklyn, NY 11215-2526 2007-05-24
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1750531109 Yunieska Krug Counselor · Mental Health 401 Cypress St, Manchester, NH 03103-3628 2008-09-23
1770608853 Carrie E Krug Physical Therapist 307 W Pennsylvania Ave, Towson, MD 21204-4431 2007-03-20
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.