Jennifer Basgall

Individual provider Active NPI Massage Therapist · Hays, KS

NPI 1114768504 · NPPES record last updated Jun 1, 2024

Key facts

NPI
1114768504
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
Practice address
2707 Vine St Ste 1
Hays, KS 67601-1907
Phone
(785) 628-2105
Fax
(785) 628-2165
NPI assigned
Jun 1, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Koerner Chiropractic PA Past
since Jun 16, 2024
Accepting new patients
Koerner Chiropractic PA Past
since Jun 16, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Yes

Addresses

Primary practice location

2707 Vine St Ste 1
Hays, KS 67601-1907

Mailing address

2707 Vine St Ste 1
Hays, KS 67601-1907
Phone (785) 628-2105

Other providers in Hays, KS

All providers in Hays, KS · Massage Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.