Grace Anne Gensamer, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

LMT-LMT-LIC-19208 Issued in MT

Practice address

1111 Baker Ave
Whitefish, MT 59937-2901

Phone

(406) 862-5174

NPI assigned

Oct 17, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602892800000",
    "number": "1225637663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 1ST ST E",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014505",
            "telephone_number": "603-986-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 BAKER AVE",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599372901",
            "telephone_number": "406-862-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENSAMER",
        "first_name": "GRACE",
        "middle_name": "ANNE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-10-17",
        "certification_date": "2020-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "LMT-LMT-LIC-19208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Whitefish",
            "affiliation": "N",
            "address_1": "1111 Baker Ave",
            "city": "Whitefish",
            "state": "MT",
            "country_code": "US",
            "postal_code": "599372901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeffrey Todd Garretson, MA, PCLC
• Angela Wetzel Garrett, LCPC CCDC
• Michelle Lee Garrihy, APRN
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• Ray H Garth II, DC, DACAN
• Robert Jeffrey Gersh, D.D.S.
• GFC Inc
• Jordan Gilbert, MSW, SWLC
• Eric J Gislason, DC
• Kimberly Anne Givler, DPT

• All providers in Whitefish, MT
• Massage Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.