Active NPI
Kristin Gregoire
- Massage Therapist
- Missoula, MT
National Provider Identifier
1265974539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1368
- Practice address
- 429 Strand Ave
Suite 305
Missoula, MT 59801-5712 - Phone
- (406) 207-8079
- NPI assigned
- Nov 17, 2016
- 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 | 1368 | MT | Primary |
Addresses
Primary practice location
429 Strand Ave
Suite 305
Missoula, MT 59801-5712
Mailing address
127 N Higgins Ave
Suite 305
Missoula, MT 59802-4455
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 |
|---|---|---|---|
| 1368 | MT | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479340800000",
"number": "1265974539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 N HIGGINS AVE",
"address_2": "SUITE 305",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598024455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "429 STRAND AVE",
"address_2": "SUITE 305",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598015712",
"telephone_number": "406-207-8079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREGOIRE",
"first_name": "KRISTIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-17",
"last_updated": "2016-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "1368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.