Copper Sky Massage & Healing Arts
Massage Therapist in Redmond, OR. Organization (NPI-2).
NPI number1124416482
StatusActive
Last updated in NPPESJan 8, 2015
Details
- NPI
- 1124416482
- Entity type
- Organization (NPI-2)
- Legal business name
- Copper Sky Massage & Healing Arts
- Organization subpart
- No
- Enumeration date
- Jan 8, 2015
- Last updated
- Jan 8, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | – | Yes |
Practice location
718 Sw Highland AveRedmond, OR 97756-3120
Phone 541-280-3626 · Fax 952-516-1416
Mailing address
718 Sw Highland AveRedmond, OR 97756-3120
Authorized official
Li Andra Johnson
Owner
5412803626
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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