MRS. LISA ANN CALLERY KOONTZ RN, LMT
NPI 1518667153
Massage Therapist in Salem, OR

Q: What is Lisa Koontz's NPI number?

The NPI number for Lisa Koontz is 1518667153. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Q: What is Lisa Koontz's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Koontz was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 02, 2023

3521 MUD PUPPY LN SE, SALEM, OR 97317(503) 871-7717 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mrs. Lisa Ann Callery Koontz Rn, Lmt NPPES

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

MRS. LISA ANN CALLERY KOONTZ RN, LMT (NPI 1518667153) is an individual massage therapist in Salem, Oregon, licensed in Oregon (13994) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1518667153

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameMRS. LISA ANN CALLERY KOONTZCredential: RN, LMT

Location Address3521 MUD PUPPY LN SESalem, OR 97317-9434

Mailing Address3521 Mud Puppy Ln SeSalem, OR 97317-9434 · (503) 871-7717

Phone(503) 871-7717

Sole ProprietorNo

Enumeration DateMarch 2, 2023

NPPES CertifiedMarch 1, 2023

✔ NPI 1518667153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in OR · 13994

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.

Also ListedRegistered NurseTaxonomy 163W00000X · License 096007075RN (OR)

3521 MUD PUPPY LN SE, Salem, OR 97317

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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 Lisa Koontz's NPI number?

The NPI number for Lisa Koontz is 1518667153. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Where is Lisa Koontz located?

Lisa Koontz practices at 3521 Mud Puppy Ln SE, Salem, OR 97317. The listed phone number is (503) 871-7717.

What is Lisa Koontz'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 Lisa Koontz was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.