Emily Klik, LMT
Individual provider Active NPI Massage Therapist · Wales, WI
NPI 1336607167 · NPPES record last updated Mar 11, 2019
Key facts
- NPI
- 1336607167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 14696-146 (WI)
- Practice address
- 543 A J Allen Cir Ste A1
Wales, WI 53183-9542 - Phone
- (262) 968-2001
- Fax
- (262) 347-3371
- NPI assigned
- Mar 11, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14696-146 | WI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Journeys Occupational Therapy LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 14696-146 | WI | Yes |
Addresses
Primary practice location
543 A J Allen Cir Ste A1
Wales, WI 53183-9542
Mailing address
543 A J Allen Cir Ste A1
Wales, WI 53183-9542
Phone (262) 968-2001
Other providers in Wales, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.