Active NPI
Kimberly Ann Conniff, LMT
- Massage Therapist
- Troy, MI
National Provider Identifier
1194050385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1147 E Long Lake Rd
Suite #2
Troy, MI 48085-4943 - Phone
- (248) 918-4898
- NPI assigned
- Oct 6, 2009
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MI | Primary |
Addresses
Primary practice location
1147 E Long Lake Rd
Suite #2
Troy, MI 48085-4943
Mailing address
1147 E Long Lake Rd
Suite #2
Troy, MI 48085-4943
Phone (248) 918-4898
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366243200000",
"number": "1194050385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1147 E LONG LAKE RD",
"address_2": "SUITE #2",
"city": "TROY",
"state": "MI",
"postal_code": "480854943",
"telephone_number": "248-918-4898",
"fax_number": "248-250-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1147 E LONG LAKE RD",
"address_2": "SUITE #2",
"city": "TROY",
"state": "MI",
"postal_code": "480854943",
"telephone_number": "248-918-4898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNIFF",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-06",
"last_updated": "2013-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.