Mindy Kriegbaum, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

33.023871 Issued in OH

Practice address

4080 Marshall Rd Ste 101
Kettering, OH 45429-5157

Phone

(937) 241-5173

Fax

(937) 567-0716

NPI assigned

Jan 22, 2022

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

Locations

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.

• Freedom Therapy Clinic LLC

  • Massage Therapist
  • Kettering, OH
  • NPI 1609477546
  NPD

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646870400000",
    "number": "1205588183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4080 MARSHALL RD STE 101",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295157",
            "telephone_number": "937-241-5173",
            "fax_number": "937-567-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 MARSHALL RD STE 101",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454295157",
            "telephone_number": "937-241-5173",
            "fax_number": "937-567-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGBAUM",
        "first_name": "MINDY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-22",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OH",
            "license": "33.023871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Elizabeth Kramer, MPAP, PA-C
• Teresa R. Kramer
• Jonathan Kreher, M.D.
• Nicole Lynne Kreinbrink, CRNA
• Talia Kreuzer, PA-C
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Kroger Limited Partnership I
• Zoltan Adrian Krudy, MD
• Julia C Kruzel, RN

• Massage Therapist in Kettering, OH
• Providers in Kettering, OH by specialty
• Massage Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; 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.