Active NPI
Ashley L Boltjes, L.M.T.
- Massage Therapist
- Flint, MI
National Provider Identifier
1235660291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 7501002844
- Practice address
- 3277 Beecher Rd
Flint, MI 48532 - Phone
- (269) 998-2846
- NPI assigned
- Mar 22, 2017
- Last updated
- Mar 22, 2017
- Sex
- Female
- Sole proprietor
- No
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 | 7501002844 | MI | Primary |
Addresses
Primary practice location
3277 Beecher Rd
Flint, MI 48532
Mailing address
1510 Crestbrook Lane
Flint, MI 48507
Phone (269) 998-2846
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 |
|---|---|---|---|
| 7501002844 | MI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1235660291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 CRESTBROOK LANE",
"city": "FLINT",
"state": "MI",
"postal_code": "48507",
"telephone_number": "269-998-2846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3277 BEECHER RD",
"city": "FLINT",
"state": "MI",
"postal_code": "48532",
"telephone_number": "269-998-2846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTJES",
"first_name": "ASHLEY",
"middle_name": "L",
"credential": "L.M.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-22",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MI",
"license": "7501002844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flint, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.