Andrew Arthur Raak, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

5871 Cedar Lake Rd S
Suite 212
Saint Louis Park, MN 55416-1472

Phone

(612) 229-0236

NPI assigned

Dec 20, 2011

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379289600000",
    "number": "1508135682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5871 CEDAR LAKE RD S",
            "address_2": "SUITE 212",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161472",
            "telephone_number": "612-229-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5871 CEDAR LAKE RD S",
            "address_2": "SUITE 212",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554161472",
            "telephone_number": "612-229-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAAK",
        "first_name": "ANDREW",
        "middle_name": "ARTHUR",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-20",
        "last_updated": "2013-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "1653",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alicia Rae Radel, OTR/L

• Massage Therapist in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Massage Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2013; 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.