Individual provider Active NPI

Kimberly Krause, LMT

  • Massage Therapist
  • La Crosse, WI
National Provider Identifier
1104602416
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
3629-146 Issued in WI
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

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
3629-146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Weber Health Logistics, LLC CurrentSince Feb 25, 2024 Accepting new patients
Viaro Professional Arts LTD Health Care CurrentSince Oct 1, 2022 Accepting new patients
Viaro LLC PastSince Jun 1, 2022 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.

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.

Verify at the official NPI Registry.