MEDICARE: TRULY ROOTED LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1063360261
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRULY ROOTED LLC

Provider Business Mailing Address
First Line	:	1390 NE COMPTON DR APT 533
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97006-2104
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1390 NE COMPTON DR APT 533
Second Line	:
City	:	HILLSBORO
State	:	OR
Zip	:	97006-2104
Country	:	US
Telephone Number	:	248-880-4029
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXANDRA TERESZCZENKO
Credential	:	LMT
Telephone Number	:	248-880-4029

Provider Enumeration Date	:	03/21/2026
Last Update Date	:	03/21/2026

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Directions to “TRULY ROOTED LLC ” Practice Location

Language	Start Address	Practice Location

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