Jennifer Michele Coyle, LMT,CMLDT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

165604 Issued in KY

Practice address

4400 Breckenridge LN
Louisville, KY 40218-4135

Phone

(502) 242-8318

NPI assigned

Apr 20, 2023

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

Other names 1

• Jennifer Michele Coyle Professional name

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": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1427745207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 MONTERO DR",
            "city": "PROSPECT",
            "state": "KY",
            "postal_code": "400599407",
            "telephone_number": "502-432-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 BRECKENRIDGE LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402184135",
            "telephone_number": "502-242-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYLE",
        "first_name": "JENNIFER",
        "middle_name": "MICHELE",
        "credential": "LMT,CMLDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "165604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "COYLE",
            "middle_name": "MICHELE",
            "credential": "LMT,CMLDT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Suzanne Ruth Cox, RT R M
• Annette M. Coxon, KCSA
• Morgan Coy, LCDC
• Damon B. Coyle, M.D.
• Emerson Graham Coyle, LCSW
• Tobey L Coyle, MD
• Dave Jay Coyne, L.AC.
• Killian Cavanaugh Coyne, MD
• Robert Cozzens
• Cpa Lab Clinic Associates Inc

• Massage Therapist in Louisville, KY
• Providers in Louisville, KY by specialty
• Massage Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.