Active NPI
Pamela Christine Ketchel, CMT
- Massage Therapist
- Howell, MI
National Provider Identifier
1487942983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 204 W Grand River Ave
Suite 240
Howell, MI 48843-2299 - Phone
- (810) 599-6486
- NPI assigned
- Jul 18, 2011
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
204 W Grand River Ave
Suite 240
Howell, MI 48843-2299
Mailing address
204 W Grand River Ave
Suite 240
Howell, MI 48843-2299
Phone (810) 599-6486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154742 | Other | AMTA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1487942983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 W GRAND RIVER AVE",
"address_2": "SUITE 240",
"city": "HOWELL",
"state": "MI",
"postal_code": "488432299",
"telephone_number": "810-599-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 W GRAND RIVER AVE",
"address_2": "SUITE 240",
"city": "HOWELL",
"state": "MI",
"postal_code": "488432299",
"telephone_number": "810-599-6486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KETCHEL",
"first_name": "PAMELA",
"middle_name": "CHRISTINE",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-18",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMTA",
"identifier": "154742",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.