Katherine Marie Gordon, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

NO.1900 Issued in MT

Practice address

324 13 Ave South
Suite No. 4
Great Falls, MT 59405

Phone

(406) 217-4251

Fax

(406) 315-3035

NPI assigned

Sep 12, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1043560469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 13 AVE SOUTH",
            "address_2": "SUITE NO. 4",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59405",
            "telephone_number": "406-217-4251",
            "fax_number": "406-315-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 13 AVE SOUTH",
            "address_2": "SUITE NO. 4",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59405",
            "telephone_number": "406-217-4251",
            "fax_number": "406-315-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "1900",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "NO.1900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvin Peter Gone
• Barbara Good, LICENSED AC
• Sophia Pearl Good
• Patty Sisk Goodmundson
• Daniel K. Gordon, MD
• Samantha Lynn Gordon, M. ED
• Sara G Goroski, APRN
• Paul L Gorsuch Jr., MD
• Wanda Lea Gorsuch, M.D.
• Deanna Marie Goss, RDH LAP

• Massage Therapist in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Massage Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.