Active NPI
Cheryl Ann Malkerson
- Massage Therapist
- Coon Rapids, MN
National Provider Identifier
1437390606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 09-011
- Practice address
- 11031 Bittersweet St NW
Coon Rapids, MN 55433-3954 - Phone
- (763) 712-0838
- NPI assigned
- Mar 17, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 09-011 | MN | Primary |
Addresses
Primary practice location
11031 Bittersweet St NW
Coon Rapids, MN 55433-3954
Mailing address
11031 Bittersweet St NW
Coon Rapids, MN 55433-3954
Phone (763) 712-0838
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09-011 | MN | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237248000000",
"number": "1437390606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11031 BITTERSWEET ST NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554333954",
"telephone_number": "763-712-0838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11031 BITTERSWEET ST NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554333954",
"telephone_number": "763-712-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALKERSON",
"first_name": "CHERYL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-17",
"last_updated": "2009-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "MN",
"license": "09-011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.