Judith Ann Correll, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501005547 Issued in MI

Practice address

701 Beech St
Clare, MI 48617-1427

Phone

(989) 386-2384

NPI assigned

Jul 13, 2017

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

Credentials

Medical Technician

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Benchley Chiropractic Clinic, P.C.

  • Chiropractor
  • Clare, MI
  • NPI 1316016991
  NPD (past)

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1356863187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7080 SPRINGWOOD LAKE RD",
            "city": "HARRISON",
            "state": "MI",
            "postal_code": "486258208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 BEECH ST",
            "city": "CLARE",
            "state": "MI",
            "postal_code": "486171427",
            "telephone_number": "989-386-2384"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 E Oak St",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "MI",
            "postal_code": "486252513",
            "country_code": "US",
            "telephone_number": "989-539-3650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7080 Springwood lk rd.",
            "address_purpose": "LOCATION",
            "city": "Harrison",
            "state": "MI",
            "postal_code": "486254862",
            "country_code": "US",
            "telephone_number": "586-899-1907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRELL",
        "first_name": "JUDITH",
        "middle_name": "ANN",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501005547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clarity Optical, LLC
• Edith Clark, DPM
• Judith J Cline, R.PH.
• Jamie Lynn Clute, PTA
• Candace Comer
• Countryside Chiropractic Center PLC
• Jessica Ann Curtis
• Timothy J Dailey
• Dale J Moser
• Stacy Lynn Davis, PTA

• Massage Therapist in Clare, MI
• Providers in Clare, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.