Kristine Isham Inc

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

KRISTINE ISHAM INC

Practice address

709 Sebastian Blvd Ste G
Sebastian, FL 32958-8704

Phone

(772) 228-9638

NPI assigned

Apr 10, 2009

Last updated

Apr 10, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kristine Dyan Isham

Title

Owner

Phone

(772) 228-9638

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1144463852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 SEBASTIAN BLVD STE G",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329588704",
            "telephone_number": "772-228-9638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 SEBASTIAN BLVD STE G",
            "city": "SEBASTIAN",
            "state": "FL",
            "postal_code": "329588704",
            "telephone_number": "772-228-9638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE ISHAM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "ISHAM",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "DYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-228-9638"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk E Maes M D P a
• Emily A Kline, PTA
• Christina Knowles, COTA/L
• Krystal Lynn Koivisto, HIS
• John D. Koziarski, M.D.
• Debra Ann Kulchycki, ARNP-C
• Ineke Liauwapau Kurland
• Ted Kwarchak, CRNA
• Stacy D Laffin, MS,RD,LD
• Charlotte Cain Lajoie, LMHC

• Massage Therapist in Sebastian, FL
• Providers in Sebastian, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.