Active NPI
Lacee Jean Mares, LMT
- Massage Therapist
- Billings, MT
National Provider Identifier
1104262732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 67
- Practice address
- 2501 Montana Ave
Ste #12
Billings, MT 59101-2324 - Phone
- (406) 208-0616
- NPI assigned
- May 22, 2013
- Last updated
- May 22, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 67 | MT | Primary |
Addresses
Primary practice location
2501 Montana Ave
Ste #12
Billings, MT 59101-2324
Mailing address
21 Nimitz Dr
Billings, MT 59101-4626
Phone (406) 208-0616
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 |
|---|---|---|---|
| 67 | MT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1104262732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 NIMITZ DR",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591014626",
"telephone_number": "406-208-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 MONTANA AVE",
"address_2": "STE #12",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591012324",
"telephone_number": "406-208-0616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARES",
"first_name": "LACEE",
"middle_name": "JEAN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-22",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "67",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Billings, MT
- Rebecca Peck Mantha
- Mackenzie L. Manweiler, B.S., L.A.C.
- Breanna Lee Maples, LCSW
- Eric L. Maranda, M.D.
- Braydon Dale Marchant, PA-C
- Marilyn Euler Counseling and Consulting LLC
- Heather Melody Marin, PT
- Marion Opticans
- Diane Marie Marion
- Mark J Haynes a Professional Chiropractic Corporation (Montana Pain & Rehab Center/Montana Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.