Active NPIIndividual providerSole proprietor

Andrea M Andrus, LMT

Massage Therapist in Bend, Oregon

NPI Number1174817647
Practice location
737 NE Revere Ave, Bend, OR 97701-4024
Fax
—
Last updated
December 18, 2015

Andrea M Andrus, LMT is a Massage Therapist based in Bend, OR. Andrea M Andrus, LMT holds the professional credentials of LMT. The NPI number for Andrea M Andrus, LMT is 1174817647 and holds license No. 10777 (OR). The current practice location address is 737 NE Revere Ave, Bend, OR 97701-4024 and the office can be reached by phone at 541-241-0384. The NPI was assigned on June 2, 2011 and the record was last updated in NPPES on December 18, 2015.

●Provider Profile Details

NPI Number
1174817647
Provider Name
Andrea M Andrus
Credential
LMT
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Massage Therapist · 225700000X
Sole Proprietor
Yes
Enumeration Date
June 2, 2011
Last Update Date
December 18, 2015
NPI Status
Active

◉Business Practice Location Address

Address
737 NE Revere Ave
Bend, OR 97701-4024
City
Bend
State
Oregon
ZIP
97701-4024
Country
US
Phone Number
541-241-0384

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✉Business Mailing Address

Address
19158 Pumice Butte RD
Bend, OR 97702-8948
City
Bend
State
OR
ZIP
97702-8948
Phone Number
541-241-0384

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Massage Therapist225700000XYes10777OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Andrea M Andrus, LMT?

The NPI number of Andrea M Andrus, LMT is 1174817647. It was assigned on June 2, 2011 and is currently active in the NPPES registry.

What is the specialty of Andrea M Andrus, LMT?

Andrea M Andrus, LMT is registered under the primary taxonomy Massage Therapist (code 225700000X) and holds license No. 10777 (OR).

Where does Andrea M Andrus, LMT practice?

The practice location is 737 NE Revere Ave, Bend, OR 97701-4024. The office can be reached at 541-241-0384 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174817647 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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