Kelsey Lee

Key facts

NPI

1053955583

Entity type

Individual (NPI type 1)

Primary specialty

Massage Therapist 225700000X

Practice address

318 11TH Ave S
Faulkton, SD 57438-2185

Phone

(605) 277-5044

NPI assigned

Oct 28, 2019

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 28, 2019.

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1053955583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 101",
            "city": "FAULKTON",
            "state": "SD",
            "postal_code": "574380101",
            "telephone_number": "605-277-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 11TH AVE S",
            "city": "FAULKTON",
            "state": "SD",
            "postal_code": "574382185",
            "telephone_number": "605-277-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Faulkton, SD

• Jamie Hartung
• Sheila K Hoffman, R PHARMACIST
• Jesseca Lynn Kast, CNP
• Kelsey Lynne Kaufmann
• Michele Latt, BS
• Jean Alicia Mitchell, OTR/L
• Jessi Muniz, PT, DPT
• Chris Jon Ogle, P.A.
• Carol Ann Pitts, R.D., L.N.
• Timothy Francis Quinn, PA-C

All providers in Faulkton, SD · Massage Therapist in South Dakota