Organization Active NPI

Kneaded Health Massage & Wellness

  • Massage Therapist
  • Onalaska, WI
National Provider Identifier
1003052226
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
2824-046 Issued in WI
Legal business name
KNEADED HEALTH MASSAGE & WELLNESS
Practice address
704 Sand Lake Rd
Onalaska, WI 54650-2400
Phone
(608) 790-1880
NPI assigned
Dec 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Kris A Brownell, CMT
Title
Member
Phone
(608) 790-1880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 2824-046 WI Primary

Addresses

Primary practice location

704 Sand Lake Rd
Onalaska, WI 54650-2400

Mailing address

769 23Rd St N
La Crosse, WI 54601-3852
Phone (608) 790-1880

National Provider Directory

National Provider Directory

Locations

704 Sand Lake Rd
Onalaska, WI 54650
Phone (608) 790-1880

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1003052226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "769 23RD ST N",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546013852",
            "telephone_number": "608-790-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 SAND LAKE RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546502400",
            "telephone_number": "608-790-1880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEADED HEALTH MASSAGE & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-17",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "BROWNELL",
        "authorized_official_first_name": "KRIS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "608-790-1880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "2824-046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.