Angela Michele Lane

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT11982 Issued in SD

Practice address

1113 Sherman St
Sturgis, SD 57785-1503

Phone

(605) 490-9606

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By 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

State licenses

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1124702733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577850215",
            "telephone_number": "770-755-0903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 SHERMAN ST",
            "city": "STURGIS",
            "state": "SD",
            "postal_code": "577851503",
            "telephone_number": "605-490-9606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANE",
        "first_name": "ANGELA",
        "middle_name": "MICHELE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "SD",
            "license": "MT11982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Alan Klopfenstein, MD
• Rose Sara Koch, M.S., OTR/L
• Matthew John Kreutz
• Jamie Krueger
• Cathy Lynn Kuenzel
• David Lauer
• Kristen M Legner, PA-C
• Latrisha M Lehto, ACT, LPN
• Charles Lewis, DO
• Sarah Jane Lewis, DO

• Massage Therapist in Sturgis, SD
• Providers in Sturgis, SD by specialty
• Massage Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.