Targeted Tissue Therapy LLC

Primary specialty

MechanotherapistTaxonomy code 172M00000X

Legal business name

TARGETED TISSUE THERAPY LLC

Practice address

1477 S Knowles Ave
Ste 110a
New Richmond, WI 54017

Phone

(715) 441-7632

NPI assigned

Sep 14, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sadie KeesyNPI 1598529216

Title

Owner

Phone

(715) 441-7632

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sadie Keesy

  • Massage Therapist
  • New Richmond, WI
  • NPI 1598529216

  Mechanotherapist

  NPD Authorized official

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694649600000",
    "number": "1376320010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 N 4TH ST",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "540171120",
            "telephone_number": "715-441-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 S KNOWLES AVE",
            "address_2": "STE 110A",
            "city": "NEW RICHMOND",
            "state": "WI",
            "postal_code": "54017",
            "telephone_number": "715-441-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGETED TISSUE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A",
        "authorized_official_last_name": "KEESY",
        "authorized_official_first_name": "SADIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-441-7632"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Mechanotherapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jean Stoen, PTA
• Abigail Stroud, RN
• Diane Szatkowski
• Jame E Tabatt, MS, LPC
• Kristin Taipale
• TBN, LLC
• Clifford C Tenner, MD
• Leroy Michael Thaemert, RPH
• Lisa Christine Thibodeau, 129741-121
• Scott Thiemann

• Mechanotherapist in New Richmond, WI
• Providers in New Richmond, WI by specialty
• Mechanotherapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.