Active NPI
Kimberly Krause, LMT
- Massage Therapist
- La Crosse, WI
National Provider Identifier
1104602416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3629-146
- Practice address
- 232 3Rd St N Ste 203
La Crosse, WI 54601-0004 - Phone
- (608) 668-2103
- Fax
- (608) 420-6618
- NPI assigned
- Sep 1, 2023
- Sex
- Female
- 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 | 3629-146 | WI | Primary |
Addresses
Primary practice location
232 3Rd St N Ste 203
La Crosse, WI 54601-0004
Mailing address
333 Front St N Ste 700
La Crosse, WI 54601-3220
Phone (608) 668-2103
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 |
|---|---|---|---|
| 3629-146 | WI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weber Health Logistics, LLC | Current | Accepting new patients | |
| Viaro Professional Arts LTD Health Care | Current | Accepting new patients | |
| Viaro LLC | Past | Accepting new patients |
Locations
230 Pine St
La Crosse, WI 54601
Phone (608) 668-2103
333 Front St N
Ste 700
La Crosse, WI 54601
232 3rd St N
Ste 203
La Crosse, WI 54601
Phone (608) 668-2103
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- La Crosse, WI
- NPI 1669199907
-
- Health Service Clinic/Center
- La Crosse, WI
- NPI 1184234163
-
- General Practice Physician
- La Crosse, WI
- NPI 1609515865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693526400000",
"number": "1104602416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 FRONT ST N STE 700",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546013220",
"telephone_number": "608-668-2103",
"fax_number": "608-420-6618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 3RD ST N STE 203",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546010004",
"telephone_number": "608-668-2103",
"fax_number": "608-420-6618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "KIMBERLY",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-01",
"last_updated": "2023-09-01",
"certification_date": "2023-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WI",
"license": "3629-146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.