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BREATHE BODY SPA, LLC
NPI 1588112676
Massage Therapist in Mcminnville, OR

Active since September 16, 2016
205 NE FORD ST, MCMINNVILLE, OR 97128(971) 267-5227 Get Directions Write a Review

NPPES record last updated: September 16, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Breathe Body Spa, Llc NPPES

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

BREATHE BODY SPA, LLC (NPI 1588112676) is a healthcare organization registered as a massage therapist in Mcminnville, Oregon and active in the NPI registry since September 2016. The organization lists Kelly Ryan Van Dyke, Owner/lmt, as its authorized official.

NPPES Registry Identity

NPI1588112676
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NameBREATHE BODY SPA, LLC
Location Address205 NE FORD STMcminnville, OR 97128-4632
Mailing Address940 Se Locust StDundee, OR 97115-9630 · (503) 915-6021
Phone(971) 267-5227
Organization SubpartNo
Authorized OfficialKelly Ryan Van DykeOwner/lmt · (971) 267-5227
Enumeration DateSeptember 16, 2016
✔ NPI 1588112676 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
License✔ Licensed in OR · 22338
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.
205 NE FORD ST, Mcminnville, OR 97128
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Other Identifiers 1

Other22338OR · Licensed Massage Therapist

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Breathe Body Spa, LLC's NPI number?

The NPI number for Breathe Body Spa, LLC is 1588112676. It was assigned to this organization in the NPPES registry on September 16, 2016.

Where is Breathe Body Spa, LLC located?

Breathe Body Spa, LLC is located at 205 NE Ford St, Mcminnville, OR 97128. The listed phone number is (971) 267-5227.

What is Breathe Body Spa, LLC'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 Breathe Body Spa, LLC was last updated on September 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.