Individual provider Active NPI

Kristi K Kirkpatrick, LMT MASSAGETHERAPIST

  • Massage Therapist
  • Houghton, MI
National Provider Identifier
1053008391
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
903 Razorback Dr
Suite 1
Houghton, MI 49931-4993
Phone
(906) 523-5016
NPI assigned
Apr 18, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X MI Primary

Addresses

Primary practice location

903 Razorback Dr
Suite 1
Houghton, MI 49931-4993

Mailing address

47597 Bedrock
Same
Houghton, MI 49931
Phone (906) 523-5016

Other practice location 1

47597 Bedrock
Same
Houghton, MI 49931
Phone (906) 523-5016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1053008391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47597 BEDROCK",
            "address_2": "SAME",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "49931",
            "telephone_number": "906-523-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 RAZORBACK DR",
            "address_2": "SUITE 1",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "499314993",
            "telephone_number": "906-523-5016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47597 Bedrock",
            "address_2": "Same",
            "address_purpose": "LOCATION",
            "city": "HOUGHTON",
            "state": "MI",
            "postal_code": "49931",
            "country_code": "US",
            "telephone_number": "906-523-5016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "KRISTI",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LMT MASSAGETHERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houghton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.