Melinda June Clarklattimer

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

429 8TH Ave NE
Brainerd, MN 56401-2806

Phone

(218) 829-8200

NPI assigned

Sep 9, 2020

Last updated

Sep 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Aaron Hokanson, D.C., P.a.

  dba Back To Basics Chiropractic

  • Chiropractor
  • Baxter, MN
  • NPI 1437323102
  NPD (past)
• Select Life Chiropractic, Inc.

  • Chiropractor
  • Brainerd, MN
  • NPI 1386745420
  NPD (past)

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1144835919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16601 RIVERWOOD DR UNIT 303",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563457202",
            "telephone_number": "320-360-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "429 8TH AVE NE",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564012806",
            "telephone_number": "218-829-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARKLATTIMER",
        "first_name": "MELINDA",
        "middle_name": "JUNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Newell
• Shellie Cibuzar
• City of Brainerd
• Kimberly Clark, BSC, COTA
• Tori P Clark, LICSW
• Brock A Clements, DPT
• Denise Ann Cleveland, MA, RD, LD
• Linda C Cohee, PTA
• Paula Sue Coil, LPN
• Stephen William Colby, DDS MS

• Massage Therapist in Brainerd, MN
• Providers in Brainerd, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.