Just Knead Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

JUST KNEAD MASSAGE LLC

Practice address

210 N 8TH St
Manitowoc, WI 54220-4606

Phone

(920) 901-8044

NPI assigned

Sep 13, 2021

Organization subpart

No

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

Authorized official

Name

Diane M Luckow, LMT

Title

Owner/LMT

Phone

(920) 901-8044

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1538838461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5827 LUCKOW LN",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542209555",
            "telephone_number": "920-901-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N 8TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204606",
            "telephone_number": "920-901-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUST KNEAD MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "LUCKOW",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/LMT",
        "authorized_official_telephone_number": "920-901-8044",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBTMB",
            "identifier": "601661-11",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "justkneadmassage@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "210 N 8th St",
            "city": "Manitowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542204606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Johnson, AU.D.
• Paula Tenpas Johnson, M.S. CCC/SLP
• Hannah Jonet
• Milan Jordan, MD
• Juniper Physical Therapy, LLC
• Just Orthodontics, Inc.
• Ethan Just, DMD
• Jeffery Keith Just
• Sarah Kadow
• Laura Kakatsch

• Massage Therapist in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Massage Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.