Maria Victoria Gutierrez, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

625-146 Issued in WI

Practice address

2702 Monroe St Ste 110
Madison, WI 53711-1896

Phone

(608) 772-0121

NPI assigned

Aug 11, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Vicki Gutierrez Other name

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": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1073124376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4250 WARWICK WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537113856",
            "telephone_number": "608-772-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 MONROE ST STE 110",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537111896",
            "telephone_number": "608-772-0121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "MARIA",
        "middle_name": "VICTORIA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WI",
            "license": "625-146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "GUTIERREZ",
            "credential": "LMT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Scott Guthrie, DMD
• Belinda Gutierrez, PH.D.
• Elena Gutierrez, M.D.
• Gilberto Gutierrez, SERVICE FACILITATOR
• Jessica Marie Gutierrez, LCSW, CSAC, ICS
• Nicholas Gutierrez, RBT
• Mary L Gutknecht, PC
• Kate Gutkowski
• McKayla Rose Gutzmer
• Paul W Guyton, LCSW

• Massage Therapist in Madison, WI
• Providers in Madison, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; 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.