Anne Elizabeth Kolessar, LMT, CCT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

8804 Issued in NM

Practice address

2469 Corrales Rd
Corrales, NM 87048-9146

Phone

(505) 508-5827

NPI assigned

Aug 24, 2018

Sex

Female

Sole proprietor

No

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": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1366923625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6408 GAMBEL QUAIL RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871445141",
            "telephone_number": "505-850-8897",
            "fax_number": "505-274-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 CORRALES RD",
            "city": "CORRALES",
            "state": "NM",
            "postal_code": "870489146",
            "telephone_number": "505-508-5827"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1923 Alvarado Dr NE",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871105161",
            "country_code": "US",
            "telephone_number": "505-850-8897",
            "fax_number": "505-274-7672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLESSAR",
        "first_name": "ANNE",
        "middle_name": "ELIZABETH",
        "credential": "LMT, CCT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NM",
            "license": "8804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Debora A Lanphere, OTR.L
• Eric Cessna Lanphere, OTR/L
• Celia Janet Larcom, LMT

• Massage Therapist in Corrales, NM
• Providers in Corrales, NM by specialty
• Massage Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.