Brenda Lee Koveleski, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

414 W Mansion St
Marshall, MI 49068-1404

Phone

(517) 474-0993

Fax

(269) 781-3145

NPI assigned

Oct 18, 2012

Last updated

Oct 21, 2012By the provider in NPPES

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

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350777600000",
    "number": "1114270808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 W MANSION ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681404",
            "telephone_number": "517-474-0993",
            "fax_number": "269-781-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 W MANSION ST",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490681404",
            "telephone_number": "517-474-0993",
            "fax_number": "269-781-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVELESKI",
        "first_name": "BRENDA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Klee, D.O.
• Jodi Klein, OTRL
• Philip L. Knight, D.C.
• Donald Robert Koludrovich, CRNA
• Tierra Konkle
• Dorlah Carleen Kraft-Guilfoyle, OTR/L CLT
• Servando R Kuizon, MD
• Timothy Daniel Kwiecien, M.D.
• Mary Jo Lakatos, R.D., C.D.E.
• Andrea Kay Landesman Jonsson, MD

• Massage Therapist in Marshall, MI
• Providers in Marshall, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2012; 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.