Brianne Kathryn Boettcher

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

227007971 Issued in IL

Practice address

100 Macgregor Rd
Lockport, IL 60441-2712

Phone

(708) 218-7115

NPI assigned

Sep 1, 2020

Last updated

Sep 1, 2020By the provider in NPPES

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

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1326652017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 HIGHLAND AVE",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604412753",
            "telephone_number": "708-218-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MACGREGOR RD",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604412712",
            "telephone_number": "708-218-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTCHER",
        "first_name": "BRIANNE",
        "middle_name": "KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227007971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Warner Bey
• BH Care LLC
• Isabella Marie Bigos
• Margaret Mary Bitten, PTA
• Gregory Paul Bobak, DDS
• Thomas Richard Brescia, D.C.
• Bridges to a New Day,NFP
• Jennifer Britt, PARMD
• Anna Maris Labrado Briz, OTR/L
• Lisa Michele Brown, LPC

• Massage Therapist in Lockport, IL
• Providers in Lockport, IL by specialty
• Massage Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.