Kathleen Richards-Allen, LMT, NTP
Individual provider Active NPI Massage Therapist · Gobles, MI
NPI 1396567137 · NPPES record last updated Oct 31, 2024
Key facts
- NPI
- 1396567137
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 7501000682 (MI)
- Practice address
- 31253 Baseline Rd
Gobles, MI 49055-9082 - Phone
- (269) 251-3557
- NPI assigned
- Oct 31, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 7501000682 | MI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501000682 | MI | Yes |
Addresses
Primary practice location
31253 Baseline Rd
Gobles, MI 49055-9082
Mailing address
31253 Baseline Rd
Gobles, MI 49055-9082
Phone (269) 251-3557
Other providers in Gobles, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2024. 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.