Active NPI
Jody Nicole Deutsch, LMT, CMLDT
- Massage Therapist
- Kalispell, MT
National Provider Identifier
1356562607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 18086
- Practice address
- 65 Commons Way
Kalispell, MT 59901-1908 - Phone
- (503) 784-4288
- NPI assigned
- May 2, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 8188 | OR | |
| Massage Therapist | 225700000X | 18086 | MT | Primary |
Addresses
Primary practice location
65 Commons Way
Kalispell, MT 59901-1908
Mailing address
65 Commons Way
Kalispell, MT 59901-1908
Phone (503) 784-4288
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 |
|---|---|---|---|
| 18086 | MT | MD | Massage Therapist |
| 8188 | OR | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631318400000",
"number": "1356562607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 COMMONS WAY",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599011908",
"telephone_number": "503-784-4288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 COMMONS WAY",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599011908",
"telephone_number": "503-784-4288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEUTSCH",
"first_name": "JODY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "LMT, CMLDT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2021-09-11",
"certification_date": "2021-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "OR",
"license": "8188",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MT",
"license": "18086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.