Kelly Lacroix, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT3168 Issued in ME

Practice address

350 Minot Ave
Auburn, ME 04210-4327

Phone

(207) 576-1529

Fax

(207) 784-5160

NPI assigned

Apr 1, 2013

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

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": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1104169838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PLEASANT POND RD",
            "city": "TURNER",
            "state": "ME",
            "postal_code": "042823327",
            "telephone_number": "207-576-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 MINOT AVE",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104327",
            "telephone_number": "207-576-1529",
            "fax_number": "207-784-5160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1223 US Route 202",
            "address_purpose": "LOCATION",
            "city": "Winthrop",
            "state": "ME",
            "postal_code": "043643810",
            "country_code": "US",
            "telephone_number": "207-576-1529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LACROIX",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ME",
            "license": "MT3168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Auburn, ME
• Providers in Auburn, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.