Active NPI
Seo-Kwon Lee, CM/ACUPRESSURET
- Massage Therapist
- Sacramento, CA
National Provider Identifier
1205028297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 622721
- Practice address
- 2322 Butano Dr Ste 211
Sacramento, CA 95825-0657 - Phone
- (916) 206-8234
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- 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 | 622721 | CA | Primary |
Addresses
Primary practice location
2322 Butano Dr Ste 211
Sacramento, CA 95825-0657
Mailing address
2322 Butano Dr Ste 211
Sacramento, CA 95825-0657
Phone (916) 206-8234
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 622721 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187049600000",
"number": "1205028297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2322 BUTANO DR STE 211",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958250657",
"telephone_number": "916-206-8234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 BUTANO DR STE 211",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958250657",
"telephone_number": "916-206-8234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEE",
"first_name": "SEO-KWON",
"name_prefix": "Mr.",
"credential": "CM/ACUPRESSURET",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2007-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "622721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.