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ANDREA BACKSTROM
NPI 1386063121
Massage Therapist in Blaine, MN

Active since April 09, 2014
865 124TH AVE NE, BLAINE, MN 55434(612) 750-6235 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Andrea Backstrom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA BACKSTROM (NPI 1386063121) is an individual massage therapist in Blaine, Minnesota and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1386063121
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameANDREA BACKSTROM
Location Address865 124TH AVE NEBlaine, MN 55434-3169
Mailing Address865 124th Ave NeBlaine, MN 55434-3169
Phone(612) 750-6235
Sole ProprietorYes
Enumeration DateApril 9, 2014
✔ NPI 1386063121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
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.
865 124TH AVE NE, Blaine, MN 55434
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Backstrom's NPI number?

The NPI number for Andrea Backstrom is 1386063121. It was assigned to this individual provider in the NPPES registry on April 9, 2014.

Where is Andrea Backstrom located?

Andrea Backstrom practices at 865 124th Ave NE, Blaine, MN 55434. The listed phone number is (612) 750-6235.

What is Andrea Backstrom's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Andrea Backstrom was last updated on April 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.