Ana Killean, LMT

Individual provider Active NPI Massage Therapist · Waunakee, WI

NPI 1124983986 · NPPES record last updated Dec 23, 2025

Key facts

NPI
1124983986
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
15893-146 (WI)
Practice address
612 E Main St
Waunakee, WI 53597-1438
Phone
(608) 849-9014
NPI assigned
Dec 23, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

State licenses

LicenseStateTypeSpecialty
15893-146WIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bakke Chiropractic Clinic SC Past
since Dec 28, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 15893-146 WI Yes

Addresses

Primary practice location

612 E Main St
Waunakee, WI 53597-1438

Mailing address

312 E North St
Deforest, WI 53532-1258
Phone (608) 846-3337

Other providers in Waunakee, WI

All providers in Waunakee, WI · Massage Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.