Carisa Chree King, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT011526 Issued in GA

Practice address

2141 Kingston CT SE Ste 111
Marietta, GA 30067-8928

Phone

(470) 999-0392

NPI assigned

Nov 11, 2020

Last updated

Nov 11, 2020By the provider in NPPES

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 identifiers 1

Electronic endpoints 1

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": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1487256731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 KINGSTON CT SE STE 111",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678928",
            "telephone_number": "470-999-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 KINGSTON CT SE STE 111",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678928",
            "telephone_number": "470-999-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "CARISA",
        "middle_name": "CHREE",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT011526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "052887721",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Marietta",
            "affiliation": "N",
            "address_1": "2141 Kingston Ct SE Ste 111",
            "city": "Marietta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300678928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William R. Kincer, D.M.D.
• Kindred Soul Health
• Kinesthetic Physical Therapy, LLC
• Alexis King
• Brandon Virdell King, CSA, CSFA
• Colin King, MD
• Evan King, RNFA
• Kenly King
• Kristen Howze King, AUD
• Lonnie King, M.D.

• Massage Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.