Active NPI
Jenny Lou Kuske, MASSAGE THERAPIST
- Mechanotherapist
- Menasha, WI
National Provider Identifier
1124388921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mechanotherapist
- License
- 155-146
- Practice address
- 1477 Kenwood Dr
Menasha, WI 54952-1160 - Phone
- (920) 810-0514
- NPI assigned
- May 25, 2012
- 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 |
|---|---|---|---|---|
| Mechanotherapist | 172M00000X | 155-146 | WI | Primary |
Addresses
Primary practice location
1477 Kenwood Dr
Menasha, WI 54952-1160
Mailing address
1477 Kenwood Dr
Menasha, WI 54952-1160
Phone (920) 810-0514
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 155-146 | Other | WI | MASSAGE THERAPIST |
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 |
|---|---|---|---|
| 155-146 | WI | MD | Mechanotherapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337904000000",
"number": "1124388921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1477 KENWOOD DR",
"city": "MENASHA",
"state": "WI",
"postal_code": "549521160",
"telephone_number": "920-810-0514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1477 KENWOOD DR",
"city": "MENASHA",
"state": "WI",
"postal_code": "549521160",
"telephone_number": "920-810-0514"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUSKE",
"first_name": "JENNY",
"middle_name": "LOU",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-05-25",
"last_updated": "2012-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "172M00000X",
"taxonomy_group": "",
"desc": "Mechanotherapist",
"state": "WI",
"license": "155-146",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "155-146",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Menasha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.