Active NPI
Gene Kuntz II, L.M.T.
- Massage Therapist
- Lake Charles, LA
National Provider Identifier
1083947766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 4200
- Practice address
- 1528 E Prien Lake Rd
Lake Charles, LA 70601-8978 - Phone
- (337) 479-2057
- NPI assigned
- Sep 11, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 4200 | LA | Primary |
Addresses
Primary practice location
1528 E Prien Lake Rd
Lake Charles, LA 70601-8978
Mailing address
1528 E Prien Lake Rd
Lake Charles, LA 70601-8978
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4200 | LA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252627200000",
"number": "1083947766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 E PRIEN LAKE RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 E PRIEN LAKE RD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018978",
"telephone_number": "337-479-2057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNTZ",
"first_name": "GENE",
"name_suffix": "II",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-11",
"last_updated": "2009-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "LA",
"license": "4200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.